In conclusion, Sellick's maneuver is a procedure that has been used in the prophylaxis of pulmonary aspiration as part of the rapid sequence induction/intubation, however there is much controversy about it and still it cannot be considered a standard safety practice in evidence based airway management. We highlight the error of considering the maneuver as a pressure, measuring it in Newtons without taking into account the area of the cricoid cartilage. Therefore it would be improper to refer to it in terms of cricoid pressure instead of cricoid force. 1. Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet. 1961;27199:404-6. 2. Stept WJ, Safar P. Rapid induction/intubation for prevention of gastric-content aspiration. Anesth Analg. 1970;494:633-6. 5. Neilipovitz DT, Crosby ET. No evidence for decreased incidence of aspiration after rapid sequence induction. Can J Anaesth. 2007;549:748-64. 7. Howells TH, Chamney AR, Wraight WJ, Simons RS. The application of cricoids pressure. An assessment and survey of its practice. Anaesthesia. 1983;385:457-60. 8. Whittington RM, Robinson JS, Thompson JM. Fatal aspiration Mendelson's syndrome despite antacids and cricoids pressure. Lancet. 1979;3148136:228-30. 11. Turgeon AF, Nicole PC, Trepanier CA, Marcoux S, Lessard MR. Cricoid pressure does not increase the rate of failed intubation by direct laryngoscopy in adults. Anesthesiology. 2005; 1022:315-9. 12. Vanner RG, Clarke P, Moore W, Raftery S. The effect of cricoid pressure and neck support on the view at layngoscopy. Anaesthesia. 1997;529:896-900.
Como conclusión, la maniobra de Sellick es un procedimiento que se ha venido utilizando en la profilaxis de la aspiración pulmonar como parte de la inducción/intubación de secuencia rápida; sin embargo, hay muchas controversias alrededor de ella y aún no se puede considerar una práctica estándar de seguridad en el manejo de la vía aérea basada en la evidencia, incluso los autores resaltan el error de considerar la maniobra como una presión, cuando se designa la medida en newtons, sin tener en cuenta el área del cartílago cricoides.