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Clinical communication| Volume 20, ISSUE 1, P29-31, January 2001

Airway difficulties caused by improperly applied cricoid pressure

  • Anthony M.-H Ho
    Correspondence
    Reprint Address: Anthony Ho, MD, Department of Anaesthesia and Intensive Care, Prince of Wales Hospital, Shatin, NT, Hong Kong
    Affiliations
    Department of Anaesthesia and Intensive Care, Prince of Wales Hospital and Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China

    Department of Anaesthesia, Hamilton Health Science Corporation and McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada
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  • Wendy Wong
    Affiliations
    Department of Anaesthesia and Intensive Care, Prince of Wales Hospital and Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China

    Department of Anaesthesia, Hamilton Health Science Corporation and McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada
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  • Elizabeth Ling
    Affiliations
    Department of Anaesthesia and Intensive Care, Prince of Wales Hospital and Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China

    Department of Anaesthesia, Hamilton Health Science Corporation and McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada
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  • David C Chung
    Affiliations
    Department of Anaesthesia and Intensive Care, Prince of Wales Hospital and Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China

    Department of Anaesthesia, Hamilton Health Science Corporation and McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada
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  • Beng A Tay
    Affiliations
    Department of Anaesthesia and Intensive Care, Prince of Wales Hospital and Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China

    Department of Anaesthesia, Hamilton Health Science Corporation and McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada
    Search for articles by this author

      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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