Sellick's manoeuvre

Related people

Pressure applied to the cricoid cartilage to prevent gastric contents from leaking into the pharynx during tracheal intubation.

Description

Pressure applied to the cricoid cartilage to prevent gastric contents from leaking into the pharynx during tracheal intubation by extrinsic obstruction of the oesophagus.

In a series of cadaver experiments Sellick found that when the stomach was filled with water and Cricoid Pressure applied a steep Trendelenburg tilt did not cause regurgitation of fluid into the pharynx.

Bibliography

  • B. A. Sellick:
    Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia: preliminary communication.
    The Lancet. 1961, 2: 404-406. "When the contents of the stomach or oesophagus gain access to the air-passages during anaesthesia, the consequences are disastrous. In spite of modern anaesthetic techniques or sometimes regrettably because of them, regurgitation is still a considerable hazard during induction of anaesthesia, particularly for operative obstetrics and emergency general surgery." "Cricoid pressure must be exerted by an assistant. Before induction, the cricoid is palpated and lightly held between the thumb and second finger; as anaesthesia begins, pressure is exerted on the cricoid cartilage mainly by the index finger. Even a conscious patient can tolerate moderate pressure without discomfort but as soon as consciousness is lost, firm pressure can be applied without obstruction of the patient's airway. Pressure is maintained until intubation and inflation of the cuff of the endotracheal tube is complete."

What is an eponym?

An eponym is a word derived from the name of a person, whether real or fictional. A medical eponym is thus any word related to medicine, whose name is derived from a person.

What is Whonamedit?

Whonamedit.com is a biographical dictionary of medical eponyms. It is our ambition to present a complete survey of all medical phenomena named for a person, with a biography of that person.

Disclaimer:

Whonamedit? does not give medical advice.
This survey of medical eponyms and the persons behind them is meant as a general interest site only. No information found here must under any circumstances be used for medical purposes, diagnostically, therapeutically or otherwise. If you, or anybody close to you, is affected, or believe to be affected, by any condition mentioned here: see a doctor.