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The Effect of Different Sellick's Maneuver on Laryngoscopic View and Intubation Time



Jabalameli M1, 3 ; Hashemi J1 ; Mazoochi M2
Authors
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Authors Affiliations
  1. 1. Department of Anesthesiology and Intensive Care, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Alzahra University Hospital, Isfahan, Sofeh ave., Iran

Source: Journal of Research in Medical Sciences Published:2005

Abstract

Background: Sellick's maneuver (cricoid pressure) may make laryngoscopic view and tracheal intubation more difficult. This study compared the different techniques of cricoid pressure (CP) regarding to the laryngoscopic view and time to intubation. Methods: In 142 anesthetized patients, 4 types of CP was randomly applied; A) one-handed CP using thumb, index and middle fingers, B) one-handed CP using index and middle fingers, and the heel on the sternum, C) technique A with another hand below the neck, D) technique C with a pillow below the neck. Results: There was significant difference in the laryngoscopic view changes. The view was better in group A, C, D and B, respectively. Mean intubation time did not show significant difference. Conclusion: One-handed CP using thumb, index and middle fingers can provide the best views at laryngoscopy without significant effect on time to intubation.
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