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cricoid pressure : ウィキペディア英語版
cricoid pressure
Cricoid pressure, also known by the eponymous name of the Sellick manoeuvre (maneuver in American English), is a technique applied during endotracheal intubation, used to either prevent regurgitation, or to assist with visualisation of the glottis by a practitioner attempting intubation. The technique involves the application of pressure to the cricoid cartilage of the neck.〔http://medical-dictionary.thefreedictionary.com/Sellick's+maneuver〕
== History and technique ==
In 1961 Brian Arthur Sellick (1918–1996), an anaesthetist, published the paper ''Cricoid pressure to control regurgitation of stomach contents during induction of anesthesia—preliminary communication'', describing the application of cricoid pressure for the prevention of regurgitation. The technique involves the application of backward pressure on the cricoid cartilage with a force of 20-44 newtons to occlude the esophagus, preventing aspiration of gastric contents during induction of anesthesia and in resuscitation of emergency victims when intubation is delayed or not possible. Some believe that cricoid pressure in pediatric population, especially neonates, improves glottic view and aids tracheal intubation apart from its classical role in rapid sequence intubation for aspiration prophylaxis.〔


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