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Cricoid Pressure: Contradictory Evidence Regarding a Standard Practice
AORN Journal
|April 27, 2022
Summary
Cricoid pressure aims to prevent aspiration during airway management, but its effectiveness is debated. Perioperative nurses require expertise in anatomy and technique for safe application.
Area of Science:
- Anesthesiology
- Perioperative Nursing
- Airway Management
Background:
- Pulmonary aspiration is a risk during anesthesia, especially with gastric regurgitation.
- Cricoid pressure is a widely accepted intervention to mitigate this risk.
- Despite its use, controversy exists regarding the consistent efficacy of cricoid pressure.
Purpose of the Study:
- To discuss the application of cricoid pressure in safe airway management.
- To highlight the perioperative nurse's role in assisting with cricoid pressure.
- To emphasize the importance of proper technique and anatomical knowledge.
Main Methods:
- Review of current practices and literature on cricoid pressure.
- Discussion of anatomical landmarks and technical aspects of application.
- Emphasis on the perioperative nurse's responsibilities.
Main Results:
- Cricoid pressure is intended to prevent aspiration during airway management.
- Effectiveness can be variable, leading to ongoing debate.
- Proper application requires specific nursing knowledge and skills.
Conclusions:
- Perioperative nurses play a crucial role in assisting with cricoid pressure.
- Thorough understanding of anatomy and technique is essential for safe and effective application.
- Continuous education on airway management strategies, including cricoid pressure, is vital.
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