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British Journal of Anaesthesia, 1972, Vol. 44, No. 4 401-404
© 1972 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

EFFICACY OF CRICOID PRESSURE IN PREVENTING ASPIRATION OF GASTRIC CONTENTS IN PAEDIATRIC PATIENTS

M. R. SALEM, A. Y. WONG and G. F. FIZZOTTI

Departments of Pediatric Anesthesiology and Pedia-tric Radiology, Cook County Hospital and the Hektoen Institute for Medical Research of the Cook County Hospital W. Harrison Street, Chicago, Illinois 60612, U.S.A.

The efficacy of cricoid pressure (Sellick's manoeuvre) was evaluated for use in paediatric anaesthesia. From studies on eight infant cadavers, cricoid pressure was found to be effective in occluding the oesophagus in the presence or absence of a nasogastric tube despite an intra-oesophageal pressure of 100 cm H,O. In anaesthetized paediatric patients, cricoid pressure did not directly occlude any of the oesophageal tubes previously filled with contrast material. A nasogastric tube need not be withdrawn before induction of anaesthesia. It can act as a "blow-off" valve if a rise in intragastric pressure occurs while cricoid pressure will prevent regurgitation of gastric contents into the pharynx.


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