Open AccessTrainability of Cricoid Pressure Force Application: A Simulation-Based Study
Author(s) -
Éric Noll,
Shivam Shodhan,
Arnavi Varshney,
Christopher J. Gallagher,
P. Diemunsch,
F. Barry Florence,
Jamie Romeiser,
Elliott BennettGuerrero
Publication year - 2019
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000003385
Subject(s) - cricoid pressure , medicine , confidence interval , odds ratio , anesthesiology , anesthesia , physical therapy , emergency medicine , airway
Aspiration of gastric contents is a leading cause of airway management-related mortality during anesthesia practice. Cricoid pressure (CP) is widely used during rapid sequence induction to prevent aspiration. National guidelines for CP suggest a target force of 10 N before and 30 N after loss of consciousness. However, few studies have rigorously assessed whether clinicians can be trained to consistently achieve these levels of force. We hypothesized that clinicians can be trained effectively to deliver 10-30 N during application of CP.