Key result
Omitting rapid sequence induction and cricoid pressure does not increase aspiration risk during elective cesareans.
Why the study?
Does omitting rapid sequence induction and cricoid pressure increase the risk of pulmonary aspiration in appropriately fasted patients presenting for elective cesarean delivery?
Population
Appropriately fasted obstetric patients presenting for elective cesarean delivery, specifically highlighted…
Comparison
Careful induction of anesthesia with mask… vs Traditional rapid sequence induction of…
Design
Review
Authors
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Should not yet change induction practices for elective cesarean; leaves open confirmation of aspiration safety without routine rapid sequence induction.
Does omitting rapid sequence induction and cricoid pressure increase the risk of pulmonary aspiration in appropriately fasted patients presenting for elective cesarean delivery?
This review challenges the traditional dogma of universal rapid sequence induction and cricoid pressure for elective cesarean delivery, arguing it may be unnecessary and potentially harmful in patients with severe cardiac dysfunction.
Souza et al. (2010) conducted a review in Elective cesarean delivery. Rapid sequence induction and cricoid pressure was evaluated. Evidence does not support the concept that pregnant patients presenting for elective cesarean delivery have an increased risk of aspiration requiring rapid sequence induction and cricoid pressure.
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