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[Training in application of cricoid pressure]
Ako Shimabukuro1, Masako Kawatani, Namiko Nagao
1Department of Anesthesiology, Nakagami Hospital, Okinawa.
Masui. the Japanese Journal of Anesthesiology
|June 20, 2006
Summary
Anesthesia assistants can learn proper cricoid pressure technique with training. However, skills for applying cricoid pressure effectively are not retained long-term without continued practice.
Area of Science:
- Anesthesiology
- Patient Safety
Context:
- Cricoid pressure is vital for preventing aspiration during anesthesia.
- Optimal cricoid pressure is recommended between 30-40 N.
- Effective training methods are needed to ensure correct application.
Purpose:
- To assess the ability of anesthesia assistants to learn and retain the skill of applying correct cricoid pressure.
- To evaluate the effectiveness of a training model for cricoid pressure application.
Summary:
- Thirty-four participants (doctors and nurses) were trained on cricoid pressure using a calibrated model.
- Initially, few participants applied pressure correctly; after training, a majority did.
- Skill retention was poor, with participants unable to maintain correct technique after 1 month.
Impact:
- A practical training model for cricoid pressure was identified.
- The study highlights the need for ongoing training to ensure sustained proficiency in cricoid pressure application.
- Improves understanding of skill decay in procedural training for anesthesia providers.
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