| Cricoid pressure: an expert's opinion. | |
| | |
MedLine Citation:
|
PMID: 19940824 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
Nearly 40 years ago, cricoid pressure (CP) was introduced into anesthetic practice based on a single small case series that lacked essential information. No randomized controlled trials have since documented any benefit of CP. In addition, numerous surveys have shown that most anesthetists lack adequate theoretical and practical knowledge regarding all aspects of CP. Despite the lack of evidence of its effectiveness, evidence of numerous deleterious effects (the most important being interference with airway management), and documentation of poor practice of the technique, CP is still considered by most anesthetists as a standard of care during rapid sequence induction. However, by using CP we may well be endangering more lives by causing airway problems than we are saving in the hope of preventing pulmonary aspiration. It is dangerous to consider CP to be an effective and reliable measure in reducing the risk of pulmonary aspiration and to become complacent about the many factors that contribute to regurgitation and aspiration. Ensuring optimal positioning and a rapid onset of anesthesia and muscle relaxation to decrease the risk of coughing, straining or regurgitation during the induction of anesthesia are likely more important in the prevention of pulmonary aspiration than CP. |
| | |
Authors:
|
H J Priebe |
Related Documents
:
|
23545264 - Effects of pre- or post-processing storage conditions on high-hydrostatic pressure inac... 9135184 - The effects of single-handed and bimanual cricoid pressure on the view at laryngoscopy. 7028974 - Pressures involved in making upper edentulous impressions. 12969044 - Intragastric pressure and its relevance to protective cricoid force. 12113564 - Effect of intravenous droperidol on intraocular pressure and retrobulbar hemodynamics. 16185004 - External application of hypertonic salt solution for treatment of posttraumatic oedema. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Minerva anestesiologica Volume: 75 ISSN: 1827-1596 ISO Abbreviation: Minerva Anestesiol Publication Date: 2009 Dec |
Date Detail:
|
Created Date: 2009-11-26 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0375272 Medline TA: Minerva Anestesiol Country: Italy |
Other Details:
|
Languages: eng Pagination: 710-4 Citation Subset: IM |
Affiliation:
|
Department of Anesthesia, University Hospital Freiburg, Freiburg, Germany. priebe@anal.ukl.uni-freiburg.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Intensive insulin treatment.
Next Document: Evidence lost to treatment of critically-ill patients?