effect of different Sellick's maneuver on laryngoscopic view and intubation time

ABSTRACT

Sellick's maneuver [cricoid pressure] may make laryngoscopic view and tracheal intubation more difficult. This study compared the different techniques of cricoid pressure [CP] regarding to the laryngoscopic view and time to intubation. In142 anesthetized patients, 4 types of CP was randomly applied; A] one-handed CP using thumb, index and middle fingers, B] one-handed CP using index and middle fingers, and the heel on the sternum, C] technique A with another hand below the neck, D] technique C with a pillow below the neck. There was significant difference in the laryngoscopic view changes. The view was better in group A, C, D and B, respectively. Mean intubation time did not show significant difference. One-handed CP using thumb, index and middle fingers can provide the best views at laryngoscopy without significant effect on time to intubation