Krikoiddruck

Steinmann, Diana; Priebe, Hans‐Joachim

doi:10.1007/s00101-009-1548-6

Cited by 29 publications

(3 citation statements)

References 118 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recently, several studies suggested that it does not prevent aspiration. Additionally, bag-valve-mask ventilation, laryngoscopy, and tracheal intubation may be hindered (Steinmann and Priebe 2009). Therefore, the Sellick maneuver cannot be recommended in emergencies anymore.…”

Section: Rapid Sequence Induction Tracheal Intubation and Ventilationmentioning

confidence: 99%

GI Hemorrhage

2015

Encyclopedia of Trauma Care

View full text Add to dashboard Cite

Post embolization gastric necrosis DefinitionGastric necrosis that is a direct result of embolization, and may be contributed by an overall global hypoperfusion of the stomach.Cases of extensive gastric necrosis after therapeutic transcatheter embolization of the gastric arteries (Bradley and Goldman 1976; Bookstein et al. 1974; Tadavarthy et al. 1974) have been reported with more severe outcomes associated with embolization of the left gastric artery (Brown et al. 1989). However, they are very rare, due to the extensive blood supply of the stomach.Studies have demonstrated that in order for gastric necrosis to occur, you have to ligate the right and left gastric arteries, as well as the right and left gastroepiploic arteries and 80 % of collaterals. There is a higher chance of necrosis to occur if both arteries and veins are ligated (Somervell 1945; Babkin et al. 1943). However, cases have been reported where high-dose intra-arterial vasopressin has caused necrosis (Alves et al. 1979).Diagnosis is usually delayed due to the relative rarity of the condition. The patient may have signs of peritonism, increasing nasogastric tube output, shock, and/or worsening acidosis. Imaging modalities, which may prove useful, are an erect chest radiograph or a supine abdominal radiograph, which may demonstrate subphrenic air or air in the stomach wall. This can be confirmed by contrast-enhanced CT which may demonstrate pneumoperitoneum, decreased uptake of contrast in the stomach wall, gastric pneumatosis (Abboud et al. 2006), or intra-biliary air.If gastric necrosis is suspected, then empiric physiological resuscitation must take place, this includes intravenous fluids and antibiotics, and expeditious transfer to the operating room. Operative interventions can vary from local wedge resections, but invariably require major resection.

show abstract

Section: Rapid Sequence Induction Tracheal Intubation and Ventilationmentioning

confidence: 99%

GI Hemorrhage

2015

Encyclopedia of Trauma Care

View full text Add to dashboard Cite

show abstract

“…Zahlreiche Publikationen zeigen verfahrensassoziierte Komplikationen auf (z. B. fehlende Wirksamkeit, inkorrekte Anwendung, Provokation von Erbrechen, erschwerte Einstellbarkeit der Stimmbandebene und der ETI) und stellen daher den Wert des Krikoiddrucks infrage [73,112,113]. Vor dem Hintergrund eines fehlenden wissenschaftlichen Nachweises, dass der Krikoiddruck eine Aspiration verhindert und deutlichen Hinweisen für ernst zu nehmende Nebenwirkungen, wird der Einsatz in der Literatur bei pädiatrischen und erwachsenen Patienten nicht mehr empfohlen [112,113,114].…”

Section: Notfallnarkoseunclassified

Notfallnarkose, Atemwegsmanagement und Beatmung beim Polytrauma

et al. 2011

View full text Add to dashboard Cite

Patients with multiple trauma presenting with apnea or a gasping breathing pattern (respiratory rate <6/min) require prehospital endotracheal intubation (ETI) and ventilation. Additional indications are hypoxia (S(p)O(2)<90% despite oxygen insufflation and after exclusion of tension pneumothorax), severe traumatic brain injury [Glasgow Coma Scale (GCS)<9], trauma-associated hemodynamic instability [systolic blood pressure (SBP)<90 mmHg] and severe chest trauma with respiratory insufficiency (respiratory rate >29/min). The induction of anesthesia after preoxygenation is conducted as rapid sequence induction (analgesic, hypnotic drug, neuromuscular blocking agent). With the availability of ketamine as a viable alternative, the use of etomidate is not encouraged due to its side effects on adrenal function. An electrocardiogram (ECG), blood pressure measurement and pulse oximetry are needed to monitor the emergency anesthesia and the secured airway. Capnography is absolutely mandatory to confirm correct placement of the endotracheal tube and to monitor tube dislocations as well as ventilation and oxygenation in the prehospital and hospital setting. Because airway management is often complicated in trauma patients, alternative devices and a fiber-optic endoscope need to be available within the hospital. Use of these alternative measures for airway management and ventilation should be considered at the latest after a maximum of three unsuccessful intubation attempts. Emergency medical service (EMS) physicians should to be trained in emergency anesthesia, ETI and alternative methods of airway management on a regular basis. Within hospitals ETI, emergency anesthesia and ventilation are to be conducted by trained and experienced anesthesiologists. When a difficult airway or induction of anesthesia is expected, endotracheal intubation should be supervised or conducted by an anesthesiologist. Normoventilation should be the goal of mechanical ventilation. After arrival in the resuscitation room the ventilation will be controlled and guided with the help of arterial blood gas analyses. After temporary removal of a cervical collar, the cervical spine needs to be immobilized by means of manual in-line stabilization when securing the airway.

show abstract

“…Recently, several studies have showed that it does not compress the oesophagus [6], does not prevent aspiration and may even increase gastric reflux [7]. In addition, bag-valve-mask ventilation, laryngoscopy and tracheal intubation may be hindered [8]. Thus, applying cricoid pressure in emergencies cannot be generally recommended.…”

mentioning

confidence: 99%