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Best evidence topic report. Cricoid pressure in emergency rapid sequence induction
1Department of Emergency Medicine, Manchester Royal Infirmary, Manchester M13 9WL, UK.
Emergency Medicine Journal : EMJ
|October 26, 2005
Summary
Cricoid pressure, used during rapid sequence induction (RSI) of anesthesia, has limited evidence supporting its effectiveness in reducing aspiration. Further research is needed to confirm its benefits in clinical practice.
Area of Science:
- Anesthesiology
- Patient Safety
Background:
- Cricoid pressure is a widely used technique during rapid sequence induction (RSI) of anesthesia.
- The primary goal of cricoid pressure is to prevent aspiration of gastric contents.
- Its efficacy in preventing aspiration remains a subject of debate.
Purpose of the Study:
- To critically evaluate the existing evidence on the effectiveness of cricoid pressure in reducing aspiration during RSI.
- To determine if current evidence supports the routine application of cricoid pressure.
Main Methods:
- A shortcut review of scientific literature was conducted.
- 241 papers were initially identified.
- Three high-quality papers were selected for in-depth analysis.
Main Results:
- The review found limited evidence to support the belief that cricoid pressure reduces aspiration during RSI.
- Analysis of the best available evidence did not confirm the widespread assumption of its effectiveness.
- Study weaknesses in the selected papers were also identified.
Conclusions:
- The current evidence base is insufficient to strongly support the routine use of cricoid pressure to prevent aspiration during RSI.
- Clinicians should be aware of the limited evidence and consider alternative strategies or further research.
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