Key result
Scientific validation showing the advantage of cricoid pressure in preventing pulmonary aspiration is limited, and its application may have no benefit while potentially complicating airway management.
Why the study?
Scientific validation showing the advantage of cricoid pressure during rapid sequence induction in preventing pulmonary aspiration is limited.
Does cricoid pressure prevent pulmonary aspiration of gastric contents in patients undergoing rapid sequence induction?
Does cricoid pressure prevent pulmonary aspiration of gastric contents in patients undergoing rapid sequence induction?
Answers are grounded in this paper and cite their sources.
The routine use of cricoid pressure during rapid sequence induction lacks strong scientific validation for preventing aspiration and may complicate airway management.
Rapid sequence induction (RSI) is a common technique used in clinical anaesthesia to prevent pulmonary aspiration of gastric contents. Sellick introduced this in 1961. However, scientific validation to show the advantage of this technique in preventing aspiration is limited in literature. Numerous researches have shown that cricoid pressure (CP) application might have no benefit in preventing aspiration. Additionally this could lead to problems in securing the airway. Proper teaching and regular training sessions of this technique are mandatory in routine anaesthesia practice.
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Kaur et al. (2020) conducted a review in Patients undergoing rapid sequence induction (RSI) in anaesthesia. Cricoid pressure was evaluated. Scientific validation showing the advantage of cricoid pressure in preventing pulmonary aspiration is limited, and its application may have no benefit while potentially complicating airway management.
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