Ultrasound evaluation of the impact of cricoid pressure versus novel 'paralaryngeal pressure' on anteroposterior oesophageal diameter.

Abstract:

:To assess the degree to which cricoid pressure (Sellick manoeuvre) actually compresses the oesophagus, we measured the effect of cricoid pressure and paralaryngeal pressure on the outer anteroposterior diameter of the upper oesophagus with ultrasound in 39 healthy volunteers. The mean (SD) outer anteroposterior oesophageal diameter was 0.77 (0.11) cm with no pressure, 0.79 (0.13) cm with the application of cricoid pressure of 30 N and 0.68 (0.12) cm with the application of paralaryngeal pressure of 30 N (p < 0.0001). If cricoid pressure does not reduce the anteroposterior diameter of the oesophagus, it is difficult or impossible to explain the efficacy of the Sellick manoeuvre. However, paralaryngeal pressure decreases this diameter and has the potential to occlude the upper oesophagus.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Andruszkiewicz P,Wojtczak J,Wroblewski L,Kaczor M,Sobczyk D,Kowalik I

doi

10.1111/anae.13518

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

1024-9

issue

9

eissn

0003-2409

issn

1365-2044

journal_volume

71

pub_type

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