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Updated: Jul 14, 2026
04:46
A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
[Cricoid pressure a.m. Sellick in rapid sequence intubation?]
Henrik Bitz Alstrøm1, Bo Belhage
1Bispebjerg Hospital, Anaestesiologisk Afdeling Z. henrikalstroem@hotmail.com
Ugeskrift for Laeger
|June 28, 2007
Summary
Cricoid pressure, a standard for rapid sequence intubation since 1961, lacks evidence for reducing aspiration. This review suggests it may cause harm during intubation and ventilation, recommending its release in difficult cases.
Area of Science:
- Anesthesiology
- Critical Care Medicine
- Emergency Medicine
Context:
- Cricoid pressure, introduced in 1961, is a widely adopted maneuver during rapid sequence intubation.
- It is often maintained even in cases of difficult intubation due to perceived benefits in preventing aspiration.
Purpose:
- This review critically examines the evidence supporting the use of cricoid pressure for aspiration reduction.
- It aims to evaluate the potential adverse effects associated with this practice.
Summary:
- The review finds a lack of robust evidence demonstrating that cricoid pressure effectively reduces aspiration.
- Conversely, findings suggest potential harm during intubation, laryngeal mask insertion, and ventilation.
Impact:
- The findings challenge the routine application of cricoid pressure, particularly in scenarios involving intubation difficulties.
- It suggests reconsidering the standard practice to potentially improve patient safety and outcomes.
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