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[Cricoid pressure]
1Anästhesiologische Universitätsklinik Freiburg, Hugstetter Str. 55, 79106, Freiburg.
Der Anaesthesist
|June 26, 2009
Summary
Cricoid pressure, used during rapid sequence induction, lacks evidence for preventing pulmonary aspiration and may hinder airway management. Its routine use is questioned due to these findings.
Area of Science:
- Anesthesiology
- Patient Safety
- Airway Management
Context:
- Cricoid pressure is a common practice during rapid sequence induction.
- It is intended to prevent gastric content regurgitation and pulmonary aspiration.
- This review examines the evidence and challenges associated with its use.
Purpose:
- To review the evidence on the efficacy of cricoid pressure in preventing pulmonary aspiration.
- To analyze its clinical relevance and potential interference with airway management.
- To assess current knowledge and recommendations regarding its application.
Summary:
- The review found no evidence supporting cricoid pressure's effectiveness in preventing pulmonary aspiration.
- Numerous reports indicate that cricoid pressure can interfere with airway management.
- The rationale for its general recommendation during rapid sequence induction is questioned.
Impact:
- Challenges the routine application of cricoid pressure in anesthesiology.
- Highlights the need for evidence-based practices in airway management.
- May lead to revised guidelines for rapid sequence induction procedures.
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