in emergency rapid sequence induction.
Before the administration of general anesthetic, all patients must be thoroughly evaluated, receive aspiration prophylaxis and cricoid pressure
, and be positioned in optimal position for intubation.
Controversial issue of cricoid pressure
or Sellick maneuver.
There is inadequate evidence to recommend the routine use of cricoid pressure
when intubating a child or infant with cardiac arrest.
to prevent aspiration during intubation is not recommended in children, as it actually impedes the airway Dr.
Additionally, they no longer endorse the routine use of cricoid pressure
during airway management.
Patients in the groups above should be anaesthetised with necessary precautions to prevent aspiration, including awake intubation or rapid sequence induction with application of cricoid pressure
Left uterine displacement is necessary, as is application of cricoid pressure
to avoid aspiration.
The anesthesiologist successfully prevented gastric aspiration by performing a rapid sequence induction of anesthesia with cricoid pressure
2) A risk of aspiration during intubation was prevented by cricoid pressure
4] The use of cricoid pressure
is now controversial and other drugs have been included in modified RSI techniques.
Fatal aspiration (Mendelson's) syndrome despite antacids and cricoid pressure
However, the role of cricoid pressure
remains under debate (2,3).
During a recent learning experience I had an opportunity to perform cricoid pressure
on an electronic training aid which measured the efficiency and the accuracy of the pressure applied.
It is more difficult to determine accurate landmarks on a thick and obese neck, and misapplied cricoid pressure
may permit gastric insufflation and regurgitation and compromise laryngoscopy and intubation.