Alstrøm Henrik Bitz, Belhage Bo
Bispebjerg Hospital, Anaestesiologisk Afdeling Z.
Ugeskr Laeger. 2007 Jun 11;169(24):2305-8.
Since Brian Sellick introduced the cricoid pressure in 1961, it has become standard practice for the rapid sequence intubation. The manoeuvre has a high priority and is recommended maintained even during difficult intubation. In this review the lack of evidence for the aspiration-reducing effect of cricoid pressure is discussed. The findings suggest that it may have harmful effects in connection with intubation, laryngeal mask placement and ventilation. In conclusion, it is suggested that cricoid pressure is released in the case of intubation difficulties.
自1961年布莱恩·塞利克引入环状软骨压迫法以来,它已成为快速顺序诱导插管的标准操作。该操作具有高度优先级,即使在困难插管期间也建议持续进行。在这篇综述中,讨论了环状软骨压迫法减少误吸效果缺乏证据的情况。研究结果表明,它在插管、放置喉罩和通气方面可能产生有害影响。总之,建议在插管困难的情况下松开环状软骨压迫。