Combining head-neck position and head-down tilt to prevent pulmonary aspiration of gastric contents during induction of anaesthesia: A volunteer and manikin study

European Journal of Anaesthesiology

Volumn 29, Issue 8, 2012, Pages 380-385

  Takenaka, Ichiro ^a   Aoyama, Kazuyoshi ^a   Iwagaki, Tamao ^a  

^a STEEL MEMORIAL YAWATA HOSPITAL   (Japan)

Author keywords

Airway; Aspiration; Complications; Position; Trendelenburg

Indexed keywords

ADULT; AGED; ANESTHESIA INDUCTION; ARTICLE; AUDIOVISUAL EQUIPMENT; BODY POSITION; CERVICAL SPINE; CLINICAL ARTICLE; FEMALE; GENERAL ANESTHESIA; HEAD TILTING; HUMAN; LARYNX CARTILAGE; MALE; MOUTH; NORMAL HUMAN; OBSERVATIONAL STUDY; PULMONARY ASPIRATION; SELLICK POSITION; STOMACH CONTENT; TRACHEA; VOMITING;

ADULT; AGED; AGED, 80 AND OVER; ANESTHESIA, GENERAL; FEMALE; HEAD; HEAD-DOWN TILT; HUMANS; JAPAN; MALE; MANIKINS; MIDDLE AGED; NECK; PATIENT POSITIONING; RESPIRATORY ASPIRATION; YOUNG ADULT;

EID: 84866047756     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1097/EJA.0b013e328354a51a     Document Type: Article

References (21)

1. Warner MA, Warner ME, Weber JG. Clinical significance of pulmonary aspiration during the perioperative period. Anesthesiology 1993; 78: 56-62. (Pubitemid 23038979)
2. Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet 1961; 2:404-406.
3. Reynolds SF, Heffner J. Airway management of the critically ill patients: rapid-sequence intubation. Chest 2005; 127:1397-1412. (Pubitemid 46224307)
4. El-Orbany M, Connolly LA. Rapid sequence induction and intubation: current controversy. Anesth Analg 2010; 110:1318- 1325.
5. Snow RG, Nunn JF. Induction of anaesthesia in the foot-down position for patients with a full stomach. Br J Anaesth 1959; 31:493-497.
6. Hodges RJ, Bennett JR, Tunstall ME, Knight RF. General anaesthesia for operative obstetrics: with special reference to the use of thiopentone and suxamethonium. Br J Anaesth 1959; 31:152-163.
7. Stept WJ, Safar P. Rapid induction/intubation for prevention of gastric content aspiration. Anesth Analg 1970; 49:633-636.
8. Cassorla L, Lee JW. Patient positioning and anesthesia. In: Miller RD, editor. Anesthesia; 7th ed. Philadelphia: Churchill Livingston Elsevier; 2010.pp. 1151-1170.
9. Inkster JS. The induction of anaesthesia in patients likely to vomit with special reference to intestinal obstruction. Br J Anaesth 1963; 35:160- 167.
10. Cameron JL, Zuidema GD. Aspiration pneumonia. Magnitude and frequency of the problem. JAMA 1972; 219:1194-1196.
11. Cucchiara RF, Faust RJ. Patient positioning. In: Miller RD, editor. Anesthesia; 5th ed. Philadelphia: Churchill Livingston; 2000.pp. 1017- 1032.
12. Adnet F, Baillard C, Borron SW, et al. Randomized study comparing the 'sniffing position' with simple head extension for laryngoscopic view in elective surgery patients. Anesthesiology 2001; 95:836-841. (Pubitemid 32939104)
13. Takenaka I, Aoyama K, Iwagaki T, et al. The sniffing position provides greater occipito-atlanto-axial angulation than simple head extension: a radiological study. Can J Anesth 2007; 54:129-133. (Pubitemid 46505510)
14. Berry JM. Conventional (laryngoscopic) orotracheal and nasotracheal intubation (single lumen tube). In: Hagberg CA, editor. Benumof's airway management: principles and practice, 2nd ed. Philadelphia: Mosby Elsevier; 2007.pp. 379-392.
15. Dixon BJ, Dixon JB, Carden JR, et al. Preoxygenation is more effective in the 25 degrees head-up position than in the supine position in severely obese patients: a randomized controlled study. Anesthesiology 2005; 102:1110-1115. (Pubitemid 40745828)
16. Kirchner E. Notfälle und Aspirationsgefahr. Ist eine Weiterentwicklung gängiger Methoden zur Prophylaxe der Aspiration möglich? [Emergencies and aspiration. Can the usual methods for the prophylaxis of aspiration be further developed?]. Anaesthesist 1978; 27:119-126.
17. McCaul CL, Harney D, Ryan M, et al. Airway management in the lateral position: a randomized controlled trial. Anesth Analg 2005; 101:1221- 1225. (Pubitemid 41383102)
18. Takenaka I, Aoyama K, Iwagaki T, Kadoya T. Efficacy of the Airway Scope on tracheal intubation in the lateral position: comparison with the Macintosh laryngoscope. Eur J Anaesthesiol 2011; 28:164-168.
19. Fanning GL. The efficacy of cricoid pressure in preventing regurgitation of gastric contents. Anesthesiology 1970; 32:553-555.
20. Brimacombe J, Keller C. Hypopharyngeal seal pressure during projectile vomiting with the ProSeal laryngeal mask airway: a case report and laboratory study. Can J Anaesth 2006; 53:328.
21. Bercker S, Schmidbauer W, Volk T, et al. A comparison of seal in seven supraglottic airway devices using a cadaver model of elevated esophageal pressure. Anesth Analg 2008; 106:445-448.