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Related Experiment Video

Updated: Jun 18, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

Cricoid pressure: an expert's opinion.

¹Department of Anesthesia, University Hospital Freiburg, Freiburg, Germany. priebe@anal.ukl.uni-freiburg.de

Minerva Anestesiologica

|November 27, 2009

Summary

This summary is machine-generated.

Cricoid pressure (CP) lacks evidence of benefit and may harm patients by complicating airway management. Alternative methods like optimal positioning and rapid anesthesia induction are likely more effective for preventing pulmonary aspiration.

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Area of Science:

Anesthesiology
Patient Safety

Background:

Cricoid pressure (CP) was introduced nearly 40 years ago based on limited evidence.
No randomized controlled trials have confirmed the benefits of CP.
Surveys indicate widespread deficits in anesthetists' knowledge of CP.

Purpose of the Study:

To evaluate the evidence supporting the use of cricoid pressure in anesthetic practice.
To assess the risks and benefits of cricoid pressure compared to alternative aspiration prevention strategies.

Main Methods:

Review of existing literature and clinical practice surveys regarding cricoid pressure.
Analysis of the documented effects of cricoid pressure on airway management and patient outcomes.

Main Results:

Lack of randomized controlled trials demonstrating CP efficacy.
Evidence of numerous deleterious effects, primarily airway management interference.
CP is widely considered standard of care despite insufficient evidence and documented poor practice.

Conclusions:

Cricoid pressure may pose greater risks (airway compromise) than benefits (aspiration prevention).
Reliance on CP may lead to complacency regarding other crucial aspiration prevention measures.
Optimal patient positioning and rapid anesthetic induction are likely superior strategies for preventing pulmonary aspiration.