How Much and Where: Assessment of Knowledge Level of the Application of Cricoid Pressure

Black, Susan; Carson, Elizabeth M.; Doughty, Andrea

doi:10.1016/j.jen.2011.11.005

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…While this maneuver is commonly used in clinical practice, previous reports suggest that it is not always performed reliably (Black et al 2012, Herman et al 1996, Meek et al 1999, Nafiu et al 2009. Therefore, we designed a device that provides simple visual feedback on the real-time performance of the maneuver (Connor and Feliz 2011).…”

Section: Introductionmentioning

confidence: 99%

Performance of the Sellick maneuver significantly improves when residents and trained nurses use a visually interactive guidance device in simulation

2013

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We examined the proper performance of the Sellick maneuver, a maneuver used to reduce the risk of aspiration of stomach contents during induction of general anesthesia, using a novel device that measures and visualizes the force applied to the cricoid cartilage using thin-film force sensitive resistors in a form suitable for in vivo use. Performance was tested in three stages with twenty anaesthesiology residents and twenty trained operating room nurses. Firstly, subjects applied force to the cricoid cartilage as was customary to them. Secondly, subjects used the device to guide the application of that force. Thirdly, subjects were again asked to perform the manoeuvre without visual guidance. Each test lasted 1 min and the amount of force applied was measured throughout. Overall, the Sellick maneuver was often not applied properly, with large variance between individual subjects. Performance and inter-subject consistency improved to a very highly significant degree when subjects were able to use the device as a visual guide (p < 0.001). Subsequent significant improvements in performances during the last, unguided test demonstrated that the device initiated learning.

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Section: Introductionmentioning

confidence: 99%

Performance of the Sellick maneuver significantly improves when residents and trained nurses use a visually interactive guidance device in simulation

2013

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“…21 This may occur when those tasked with applying CP have inadequate knowledge of the correct procedure. [22][23][24] The findings of the present study indicate that major trauma patients undergoing RSI are still at risk of regurgitation and aspiration; overall, 63.3% of respondents were aware of aspiration occurring at induction of anaesthesia in trauma patients, with 25.3% admitting to personal experience. Interestingly, the rate of awareness of aspiration appears to be less in the UK than Europe (38.5% vs. 71.2%).…”

Section: Discussionmentioning

confidence: 75%

“…21 This may occur when those tasked with applying CP have inadequate knowledge of the correct procedure. 22–24…”

Section: Discussionmentioning

confidence: 99%

The use of cricoid pressure during rapid sequence induction in trauma patients – UK and European practice compared

Gwinnutt

Robinson

2015

Trauma

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Introduction: There is ongoing debate and conflicting evidence surrounding the place of cricoid pressure (CP) as part of a rapid sequence induction (RSI) of anaesthesia. This study investigated the current use of CP during trauma RSI and compared reported practice in the UK with the rest of Europe. Methods: An anonymised, web-based survey was sent to all clinicians registered as European Trauma Course instructors. Results: CP use was reported by 83.1% of UK respondents and 39.4% from the rest of Europe, with an overall reported use of 49.8%. Anaesthetists use CP less commonly (35.6%) than clinicians from other specialties (63.6%). The most common reason given for not using CP (76.7%) was a perceived lack of evidence of effectiveness. Conclusion: Generally the use of CP appears to be in decline with only half of all clinicians reporting to use it; however it remains much more commonly used in the UK than the rest of Europe.

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“…Surveys have demonstrated the lack of knowledge and the improper application of the technique by operating room staff. 88,89 In a prospective study, consultant anesthesiologists failed to successfully locate the cricoid cartilage using a landmark approach in 60% of the women undergoing GA for CD. 90 In situations where the cricoid cartilage is difficult to identify, the use of ultrasound can aid in identifying its location correctly.…”

Section: Cfmentioning

confidence: 99%

“…In addition, the CF group in this study had worse laryngoscopy views and required more intubation attempts, suggesting that CF adversely affects laryngoscopy and intubation. Surveys have demonstrated the lack of knowledge and the improper application of the technique by operating room staff 88,89. In a prospective study, consultant anesthesiologists failed to successfully locate the cricoid cartilage using a landmark approach in 60% of the women undergoing GA for CD 90.…”

Section: Rsimentioning

confidence: 99%

General anesthesia in the parturient

Mushambi

Fakiris

Kunte

2021

International Anesthesiology Clinics

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How Much and Where: Assessment of Knowledge Level of the Application of Cricoid Pressure

Cited by 5 publications

References 11 publications

Performance of the Sellick maneuver significantly improves when residents and trained nurses use a visually interactive guidance device in simulation

Performance of the Sellick maneuver significantly improves when residents and trained nurses use a visually interactive guidance device in simulation

The use of cricoid pressure during rapid sequence induction in trauma patients – UK and European practice compared

General anesthesia in the parturient

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