Abstract
Cricoid pressure, when properly applied, may prevent gastric regurgitation and may
improve the view of laryngoscopy. When improperly applied, however, it can impede
laryngoscopy and mask-ventilation. When faced with a “cannot intubate” or “cannot
mask-ventilate” situation, clinicians should reevaluate the manner with which the
assistant is applying cricoid pressure and must be prepared to adjust or even to release
it.
Keywords
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References
- Pulmonary aspiration of gastric contents.in: Miller R.D. Anesthesia. 4th edn. Churchill Livingston, New York1994: 1437-1464
Standards and guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care (ECC). JAMA 1985;255:2905–84.
- The effect of cricoid pressure and neck support on the view at laryngoscopy.Anaesthesia. 1997; 52: 896-900
- Management of the difficult adult airway.Anesthesiology. 1991; 75: 1087-1110
- Cricoid pressure.Can J Anaesth. 1997; 44: 414-425
- Cricoid pressure.Anesth Analg. 1996; 83: 859-863
- Cricoid pressure.Anaesthesia. 1999; 54: 59-62
- Safe use of cricoid pressure.Anaesthesia. 1999; 54: 1-3
- Difficult laryngoscopy made easy with a “BURP.”.Can J Anaesth. 1993; 40: 279-282
- Oesophageal sphincter function.in: Pyrs-Roberts C. Brown Jr, B.R. International practice of anaesthesia, vol 2, ch 130. Butterworth Heinemann, Oxford1996: 1-11
- Bimanual cricoid pressure.Anaesthesia. 1990; 45: 588-589
- The cricoid yoke—a device for providing consistent and reproducible cricoid pressure.Br J Anaesth. 1986; 58: 925-931
- Difficult intubation.Anaesth Intensive Care. 1993; 21: 602-607
- Airway obstruction with cricoid pressure.Anaesthesia. 2000; 55: 208-211
- The effect of cricoid pressure application on airway patency.J Clin Anesth. 1995; 7: 197-199
- Tolerance of cricoid pressure by conscious volunteers.Int J Obstet Anesth. 1992; 1: 195-198
- The Sellick maneuver causing complete airway obstruction.Anesth Analg. 1992; 74: 457-459
- Airway obstruction following application of cricoid pressure.J Clin Anesth. 1991; 3: 403-405
- Cricoid pressure impedes positioning and ventilation through the laryngeal mask airway.Can J Anaesth. 1996; 43: 1035-1040
- Mechanical airway obstruction after cricoid pressure with the laryngeal mask airway.Anesth Analg. 1994; 78 ([letter]): 603-604
- The use of cricoid pressure with the intubating laryngeal mask.Anaesthesia. 1999; 54: 656-659
- The unanticipated difficult airway with recommendations for management.Can J Anaesth. 1998; 45: 757-776
Article info
Publication history
Accepted:
September 5,
2000
Received in revised form:
August 7,
2000
Received:
February 22,
2000
Identification
Copyright
© 2001 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.