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Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Endotracheal Intubation I: Procedure01:15

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Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

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Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
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Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
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Endotracheal Tube Extubation01:24

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

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Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
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Related Experiment Video

Updated: May 1, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway
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The Rigid Tube as an Alternative in Controlling the Problematic Airway

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Rapid-sequence intubation and cricoid pressure.

Joshua C Stewart1, Sanjay Bhananker1, Ramesh Ramaiah1

  • 1Department of Anesthesiology and Pain Medicine, Harborview Medical Center, University of Washington School of Medicine, Seattle, Washington, USA.

International Journal of Critical Illness and Injury Science
|April 18, 2014
PubMed
Summary
This summary is machine-generated.

Cricoid pressure (CP) during rapid-sequence intubation is debated. While some recommend it for aspiration risk, evidence suggests it may hinder airway management and ventilation.

Keywords:
Aspirationcricoid pressurerapid-sequence intubation

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Area of Science:

  • Anesthesiology and Emergency Medicine

Background:

  • Airway management is crucial for providers involved in patient oxygenation and ventilation.
  • Rapid-sequence intubation (RSI) is standard for patients at risk of aspiration, inducing rapid unconsciousness and paralysis.
  • The use of cricoid pressure (CP) during RSI is a subject of ongoing controversy.

Purpose of the Study:

  • To evaluate the efficacy and potential drawbacks of applying cricoid pressure during rapid-sequence intubation.

Main Methods:

  • Review of current literature and recommendations from multiple specialty societies regarding cricoid pressure application.
  • Analysis of the impact of cricoid pressure on laryngoscopic view and bag-valve mask ventilation.
  • Consideration of expert opinions on cricoid pressure use in specific patient populations, such as trauma.

Main Results:

  • Multiple specialty societies question the effectiveness of CP in preventing aspiration.
  • CP may negatively affect laryngoscopic view and impair bag-valve mask ventilation.
  • Some experts advocate for CP in specific high-risk scenarios, with modifications if necessary.

Conclusions:

  • The routine application of cricoid pressure during rapid-sequence intubation is not universally supported due to potential adverse effects.
  • Clinical decisions regarding cricoid pressure should be individualized, prioritizing successful intubation and ventilation.
  • Further research may be needed to clarify the precise role and optimal application of cricoid pressure in airway management.