Cricoid pressure

When cricoid pressure ( Cricoiddruck ) or Sellick handle is called the hand against the cricoid cartilage of the larynx exerted pressure to occlude the esophagus in the region of the upper esophageal constriction during endotracheal intubation.

The aim of the cricoid pressure was the prevention of regurgitation of stomach contents into the trachea and in the sequence of aspiration. Into the lungs during the Intubationsmanövers He came especially at induction of anesthesia non- fasting patients, the Rapid Sequence Induction (RSI ) ( Ileuseinleitung ) apply.

The benefits and effectiveness of cricoid pressure is doubted in the recent literature, possibly even an increase in the risk of aspiration associated with it. To an increasing extent it is no longer eingesetzt.Der routine use of cricoid pressure on intubation during a resuscitation is not recommended.

In 1961, the first description of cricoid pressure by Brian Arthur Sellick ( 1918-1996 ). However, in the UK, such a technique for the prevention of vomiting was reported in victims of drowning in 1774.

The BURP maneuver ( backward Upwards Right Ward Pressure) is in principle performed similarly, but aims to improve the conditions for intubation in difficult intubation.