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Cricoid pressure information


Cricoid pressure, also known as the Sellick manoeuvre or Sellick maneuver, is a technique used in endotracheal intubation to try to reduce the risk of regurgitation. The technique involves the application of pressure to the cricoid cartilage at the neck, thus occluding the esophagus which passes directly behind it.[1]

Cricoid pressure should not be confused with the "BURP" (Backwards Upwards Rightwards Pressure) manoeuvre, which is used to improve the view of the glottis during laryngoscopy and tracheal intubation, rather than to prevent regurgitation.[2] As the name implies, the BURP manoeuvre requires a clinician to apply pressure on the thyroid cartilage posteriorly, then cephalad (upwards) and, finally, laterally towards the patient's right.[3]

  1. ^ "Sellick's maneuver".
  2. ^ Takahata, O; Kubota, M; Mamiya, K; Akama, Y; Nozaka, T; Matsumoto, H; Ogawa, H (1997). "The efficacy of the "BURP" maneuver during a difficult laryngoscopy" (PDF). Anesthesia & Analgesia. 84 (2): 419–21. doi:10.1097/00000539-199702000-00033. PMID 9024040. S2CID 16579238.
  3. ^ Knill, RL (1993). "Difficult laryngoscopy made easy with a "BURP"". Canadian Journal of Anesthesia. 40 (3): 279–82. doi:10.1007/BF03037041. PMID 8467551.

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Cricoid pressure

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resulting complications in a compromised patient. The process of applying cricoid pressure during Sellick's maneuver can introduce complications such as laryngeal...

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Arthur Sellick (1918–1996) was a British anaesthetist. He was known for cricoid pressure, he described in 1961. This manoeuvre is named after him. Sellick worked...

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anaesthetic trolleys by cables, one to apply a specific amount of cricoid pressure, and even a rotating bed for use in intensive care to prevent bed-sores...

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the epiglottis, and to the circular outlet at the lower border of the cricoid cartilage, where it is continuous with the lumen of the trachea. The mucous...

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Common carotid artery

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termination, and the middle thyroid vein a little below the level of the cricoid cartilage; the anterior jugular vein crosses the artery just above the...

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thyroarytenoid muscle or changes in the relative position of the thyroid and cricoid cartilages, as may occur when the larynx is lowered or raised, either volitionally...

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Trachea

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branches into the two primary bronchi. At the top of the trachea, the cricoid cartilage attaches it to the larynx. The trachea is formed by a number...

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cricoid cartilage is a typical part of the vocal set-up for shouting and other high-intensity voice productions employing higher subglottic pressure....

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over-the-needle catheter inserted through the skin into the trachea using a high pressure gas source is considered a form of conventional ventilation called percutaneous...

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which can be cut or retracted upwards. After proper identification of the cricoid cartilage and placement of a tracheal hook to steady the trachea and pull...

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Esophagus

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generally starts around the level of the sixth cervical vertebra behind the cricoid cartilage of the trachea, enters the diaphragm at about the level of the...

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Respiratory tract infection

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glottis or vocal cords; sometimes, it is taken as the tract above the cricoid cartilage. This part of the tract includes the nose, sinuses, pharynx,...

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Laryngocele

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glassblowers, due to continual forced expiration producing increased pressures in the larynx which leads to dilatation of the laryngeal ventricle (sinus...

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Surgical airway management

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over-the-needle catheter inserted through the skin into the trachea using a high pressure gas source is considered a form of conventional ventilation called percutaneous...

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Laryngectomy

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removed (including the vocal folds, hyoid bone, epiglottis, thyroid and cricoid cartilage and a few tracheal cartilage rings) with the separation of the...

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70–80 Hz modal (bass), 30–40 Hz creaky Upper limit: 1170 Hz (soprano) larynx: cricoid cartilage thyroid cartilage arytenoid cartilage interarytenoid muscles...

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muscle, at the bottom of the throat. They cause muscle tension on the cricoid cartilage, leading to a globus feeling. Pharyngeal spasms, a more common...

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from a car accident, but her life was not in danger. The graft included a cricoid cartilage, part of the voice box, which Macchiarini had not tried before...

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named muscle that ran from the arytenoid to a midline tubercle on the cricoid. The newly named muscles were not seen in the human larynx. In addition...

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large cartilage is composed of two bands that forms an Adams Apple. The cricoid cartilage is located below the cartilage and it is attached to the trachea...

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sternal angle (outside of the thorax), above the vocal folds, or above the cricoid cartilage. The larynx is sometimes included in both the upper and lower...

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little opening in the patient's neck (between the thyroid cartilage and the cricoid cartilage, until reaching the trachea) and inserting there a tube to introduce...

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the airway that lies between the vocal cords and the lower part of the cricoid cartilage. In a normal infant, the subglottic airway is 4.5-5.5 millimeters...

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Human digestive system

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joins the esophagus at the oesophageal inlet which is located behind the cricoid cartilage. The esophagus, commonly known as the foodpipe or gullet, consists...

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cavity but their movement is more restricted near the hilum. Areas near the cricoid cartilage and carina are fixed to the thyroid cartilage and the pericardium...

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