PURPOSE: Cricoid pressure is commonly used during rapid sequence induction and intubation to minimize the risk of aspiration. The objective of the study was to evaluate the ease of fibreoptic (WuScope System(TM)) intubation in anesthetized adults receiving cricoid pressure. METHODS: The intubation difficulty scale (IDS) was used to measure tracheal ...

Burns to the neck present a serious challenge to the pediatric burn team. Even when full neck range of motion is maintained, scarring may lead to banding and a loss of the neck's natural contour. Conventional thermoplastic neck conformers have been used to maintain neck position and provide pressure to ...

The effects of various processing methods viz. pressure cooking with soaking, sprouting (48 h), sprouting and pressure cooking, dehulling, and pressure cooking of the dehulled legume on the bioavailability of zinc were studied. The total zinc content varied from 3.28 to 3.37%; the highest being in raw ricebeans and the ...

The complete stereochemical course of a tin-lithium exchange/electrophilic quench sequence has been unambiguously determined by stereochemical characterization (using X-ray crystallography or NOE studies) at every step. Pairs of diastereoisomeric stannanes of known stereochemistry bearing atropisomeric amide substituents undergo tin-lithium exchange with alkyllithiums to give diastereoisomeric benzylic organolithiums whose stereochemistry can ...

BACKGROUND: For 40 years cricoid pressure has been used to prevent regurgitation of gastric contents during induction of anaesthesia. Recent studies have emphasised use of more moderate force so as not to deteriorate ventilation or endotracheal intubation. This study was undertaken to assess the current practice and knowledge of cricoid ...

Delayed pressure urticaria is a physical urticaria where erythematous, often painful swellings occur at sites of sustained pressure on the skin, after a delay of several hours. If sought, it is present in up to 40% of patients with ordinary chronic "idiopathic urticaria" to a varying degree. Compared with other ...

We studied the effect of cricoid pressure and lateral tilt on airway patency during ventilation by facemask in a simulated obstetric setting. The lungs of 50 patients were ventilated by facemask and Guedel airway using a Nuffield Penlon 200 ventilator and Bain system with standard settings. Expired tidal volumes and ...

Cricoid pressure (CP) has been used to protect the patient from regurgitation and gastric insufflation. Because the hemodynamic effects of CP have not been evaluated independently, we designed this prospective study. Eighty ASA I adult patients were prospectively included in the study. Patients were randomly divided into Cricoid and Placebo ...

The purpose of this study was to identify the use of rapid-sequence induction (RSI) and its hybrids. For the study, 67 Certified Registered Nurse Anesthetists at 1 hospital completed a survey describing their experience using a modified technique for patients with a moderately increased risk of regurgitation and aspiration. Patient ...

Hereditary neuropathy with liability to pressure palsy (HNPP) is a rare but probably under-diagnosed disorder of peripheral nerves in which individuals suffer from repeated motor and sensory neuropathies (pressure palsies) following brief nerve compression or mild trauma. A seemingly trivial insult such as sitting or kneeling may result in a ...

In order to promote cleaner production in China, a package of policy options was presented based on the identification of the barriers encountered in the CP demonstration project and the effectiveness and feasibility of policy options for the CP implementation were analyzed. Furthermore, the policy mechanism framework was given, which ...

STUDY OBJECTIVE: To compare the Bullard laryngoscope (BL) with the flexible fiberoptic bronchoscope (FFB) in a cervical spine injury model, using inline stabilization. DESIGN: Randomized clinical trial. SETTING: Main operating room of a tertiary care hospital. PATIENTS: 50 adult, ASA physical status I, II, and III patients undergoing an elective ...

Six adult cadavers had 40 N cricoid pressure applied using a cricoid 'yoke' whilst maintaining manual in-line stabilisation of the cervical spine. No other spinal supports were used. Lateral radiographs were taken before and after applying pressure to the cricoid cartilage and the degree of cervical spine movement accurately determined. ...

Tooth protection during suspension microlaryngeal surgery is a challenge when teeth are damaged or missing. We present an effective, disposable and cheap tooth guard for microlaryngeal surgical procedures using Turbocast. The tooth guard transits the laryngoscope's pressure directly to the hard palate leaving the teeth uninvolved and free of any ...

BACKGROUND: The lightwand may be useful as an alternative for tracheal intubation during a rapid-sequence induction of anesthesia in the presence of a full stomach. This study was undertaken to assess the effect of application of cricoid pressure on the success of lightwand intubation. METHODS: Sixty adult female patients presenting ...

Cricoid pressure, when properly applied, may prevent gastric regurgitation and may improve the view of laryngoscopy. When improperly applied, however, it can impede laryngoscopy and mask-ventilation. When faced with a "cannot intubate" or "cannot mask-ventilate" situation, clinicians should reevaluate the manner with which the assistant is applying cricoid pressure and ...

Four high-yielding varieties of pigeon pea namely UPAS-120, Manak, JCPL-151. ICPL-87 had considerable amounts of antinutrients i.e. saponins and trypsin inhibitors. Saponin content of these unprocessed cultivars ranged from 2164 to 3494 mg/100 g. There were significant varietal variations in trypsin inhibitor activity (1007-1082 TIU/g) of these pigeon pea cultivars. ...

The effect of various processing treatments viz., soaking, pressure cooking, open pan cooking, germination followed by pressure cooking and roasting of whole ricebean and pressure cooking, open pan cooking and fermentation and frying of fermented batter of dehulled ricebean flour was assessed for total sugars and oligosaccharide contents. Dehulling caused ...

An unusual coalition of scientists, activists, and politicians is pressuring NASA to rethink a September decision to put a 2004 mission to Pluto on hold because of budget constraints. The growing clamor is shaking up the planetary science community, which is also preparing for a mission at mid-decade to Europa, ...

The efficacy of the McCoy laryngoscope, external laryngeal pressure, and their combination to improve the laryngoscopic view was evaluated in 219 patients and compared with the Macintosh laryngoscope. An experienced laryngoscopist performed laryngoscopy twice using the Macintosh laryngoscope and the McCoy laryngoscope in a random sequence, and external laryngeal pressure ...

Pressure garments are used to alter the appearance of immature burn scars. These garments are costly, and delays in obtaining them are frequent. The purpose of the study was to determine the nature of the delays in the obtainment of pressure garments and to examine the role that the payer ...

We studied 20 anaesthetic assistants applying simulated cricoid pressure with the left or right hand in random order. Simulated cricoid pressure was continued for up to 5 min with one hand and then, after resting, with the other hand. Applied pressure was measured at intervals and the subjects were blind ...

A recent study in our department demonstrated that depressing the plunger of a 50-mL syringe was reliably and linearly related to the force applied between 20 N and 50 N. Using a 50-mL syringe we constructed a simple device to help train anaesthetic assistants to apply cricoid pressure correctly. We ...

The purpose of the present study was to examine the effect of custom tray designs on local pressures against teeth during the impression procedure. In a previous study, a partially edentulous simulation model with a mobile tooth was used, and the effect of custom tray designs on the displacement of ...

A 7-year-old female presented with fever, urinary incontinence, mental regression, gait disturbance, and lethargy after diarrhea. Magnetic resonance imaging revealed multifocal T(2)-weighted hypersignal lesions supportive of acute disseminated encephalomyelitis. Her mother had been diagnosed with hereditary neuropathy with susceptibility to pressure palsy. The girl was also determined to have hereditary ...

Cricoid pressure may cause airway obstruction. We investigated whether this is related to the force applied and to the technique of application. We recorded expired tidal volumes and inflation pressures during ventilation via a face-mask and oral airway in 52 female patients who were anaesthetised and about to undergo elective ...

We have assessed the effect of cricoid pressure on insertion of and ventilation through the cuffed oropharyngeal airway (COPA) in 53 patients, in a double-blind, randomized study. Two anaesthetists assessed adequacy of ventilation in anaesthetized and paralysed patients at the same time but using different methods. The first assessed ventilation ...

Cricoid pressure is used to protect the lungs from contamination with gastric contents during tracheal intubation. We studied the effect of cricoid pressure applied with a yoke on 30 anaesthetised patients examined fibreoptically through a laryngeal mask airway. We assessed the effect of 20, 30 and 44 N on the ...

This study aimed to evaluate whether the application of cricoid pressure at the time of induction of anaesthesia was associated with a lesser incidence of postoperative nausea or vomiting in the immediate postoperative period compared with a group in which no cricoid pressure was applied, in patients undergoing day care ...

An innovative direct technique that improves the accuracy of provisional acrylic resin restorations is introduced. A custom impression tray is modified to facilitate complete occlusal closure. This open tray is used to make an accurate overimpression prior to beginning tooth preparation procedures. Following tooth preparation, the acrylic resin-filled overimpression is ...

Thanks to election-year realities, it's likely to be politics over policy on Capitol Hill in 2000. Congress and the Clinton administration have plenty of unfinished healthcare business, but with the pressures of the campaign trail, expect a shortened legislative window of opportunity. While healthcare remains high on everyone's agenda, the ...

The construct of peer pressure was examined as part of a qualitative study of the determinants of mental health for 41 high-risk adolescents. While the concept of peer pressure enables adults to explain youths' troubling behaviors, content analysis of the participants' accounts of their lives revealed peer pressure to be ...

Four high yielding and early maturing cultivars of pigeon pea (Cajanus cajan) namely UPAS-120, ICPL-87, ICPL-151 and, especially, Manak, contained significant amounts of polyphenols (1075 to 1328 mg/100g), which may limit their utilization. The effectiveness of soaking (6, 12 and 18 h, 30 degrees C), soaking and dehulling, ordinary cooking, ...

Facial burns present many psychological and rehabilitation challenges. Many of our patients with facial burns who are children and adolescents have expressed that they prefer to wear the transparent face mask instead of the Jobst hood (Beiersdorf Jobst Inc, Charlotte, NC) with an underlying silicone face pad. However, questions have ...

The genetic defect responsible for hereditary neuropathy with liability to pressure palsy (HNPP) is located in the same segment that is duplicated in Charcot-Marie-Tooth type 1A (CMT1A). HNPP had been presumed to be rare until an epidemiological study found a much higher incidence than was expected; the researchers suggested that ...

This study aimed to evaluate whether cricoid pressure is associated with a high risk of gastro-oesophageal reflux. Fifteen awake, fasted volunteers were studied. A cricoid pressure of 44 N was applied for 60 s by resting a padded yoke over the cricoid cartilage. Using continuous oesophageal pH monitoring, no volunteer ...

Unexpected difficulty with tracheal intubation contributes to anaesthetic morbidity and mortality. The intubating laryngeal mask is effective in facilitating blind intubation. We have evaluated the effect of cricoid pressure on the ability to insert an intubating laryngeal mask, and to pass a tracheal tube through it. Insertion and intubation through ...

Pressure garment use alters facial growth during rehabilitation after a facial burn injury. We previously studied 3 children with full facial burns and 3 children with partial facial burns who wore pressure garments for 1 year, and we found that maxillary horizontal growth and mandibular anterior-inferior growth are inhibited during ...

'The pharmaceutical industry is seemingly poised on a precipice of intense pressures and challenges'

BACKGROUND: The treatment of choice for cancer of the breast are mastectomy and axillary clearance or wide excision with axillary clearance. The most common complication following such a procedure is seroma formation. Various methods have been used to prevent it. However, the use of a pressure garment in this context ...

The best view obtained by levering the tip of the McCoy laryngoscope blade with or without modified cricoid pressure was studied in 100 patients presenting for general surgery. The airway was assessed pre-operatively (Mallampati score, thyromental distance, mouth opening, protrusion of the jaw and weight) in an attempt to identify ...

The corner effect, the Münsterberg illusion, and the Café Wall illusion are explained by a model postulating that the corner effect is an orientation illusion specific to corner edges and that the perceived orientations of these edges are shifted toward angle contraction. It is also assumed that the effect is ...

We report two patients with suspected hereditary liability to pressure palsies. Neurophysiological studies showed a mixed axonal-demyelinating sensory-motor polyneuropathy with focal slowing of conduction velocities at the common sites of entrapment. Morphological studies on sural nerve biopsy from the proband showed active axonal regeneration without typical tomacula. Molecular analysis confirmed ...

This correspondence presents a prototype of a powered hand exoskeleton that is designed to fit over the gloved hand of an astronaut and offset the stiffness of the pressurized space suit. This will keep the productive time spent in extravehicular activity from being constrained by hand fatigue. The exoskeleton has ...

Fifty female patients were studied to compare the view of the larynx at direct laryngoscopy under general anaesthesia with and without cricoid pressure applied. We also compared the view using the standard technique of cricoid pressure with that using cricoid pressure in an upward and backward direction and further investigated ...

The resistant starch (RS) contents of rice and waxy amaranth starch subjected to processing treatments like cooking by boiling, pressure cooking, roasting, extrusion cooking, frying and drum drying have been reported. Compared to the contents in the native starch, when expressed on dry wt basis, in both cases, cooking by ...

In 30 ASA 1 and 2 patients undergoing general anaesthesia and neuromuscular paralysis, manual in-line stabilisation of the neck in a neutral position was performed and single-handed cricoid pressure was applied. Vertical displacement was measured from the midpoint of the neck (directly below the cricoid cartilage). Measurements were also made ...

Pressure has been used since the early 1970s by burn care provides to help minimize the formation of hypertrophic scars. Although the exact mechanism of action is unknown, pressure appears clinically to enhance the scar maturation process. Bandages that can be wrapped and unwrapped or are made of a soft ...

Pressure garment therapy has become the worldwide standard of care for the prevention and treatment of hypertrophic scars. There are many reports in the literature on pressure garment therapy but few studies state the amount of pressure actually provided. The purpose of our study was to determine the amount of ...

The effects of two different methods of cricoid pressure on laryngoscopic view were studied in 94 healthy women presenting for routine gynaecological surgery. Laryngoscopy was performed with either single-handed or bimanual cricoid pressure; after grading of the view obtained, the other method was used and second grading performed. Laryngoscopic view ...