Cricoid pressure: The case in favour

Trends in Anaesthesia and Critical Care

Volumn 5, Issue 2-3, 2015, Pages 57-60

  Athanassoglou, Vassilis ^a   Pandit, Jaideep J ^a,b  

^a OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^b ST JOHN S COLLEGE   (United Kingdom)

Author keywords

Anaesthesia; Aspiration; Intubation; Rapid sequence induction; Regurgitation

Indexed keywords

ACID ASPIRATION; CRICOID; CRICOID PRESSURE; ENDOTRACHEAL INTUBATION; GASTROESOPHAGEAL REFLUX; HEALTH CARE QUALITY; HUMAN; INTENSIVE CARE UNIT; LUNG VENTILATION; MEDICOLEGAL ASPECT; NOTE; PRIORITY JOURNAL; PULMONARY ASPIRATION; RANDOMIZED CONTROLLED TRIAL (TOPIC); RESPIRATION CONTROL; STOMACH CONTENT; STOMACH DISTENSION;

EID: 84929955486     PISSN: 22108440     EISSN: 22108467     Source Type: Journal    
DOI: 10.1016/j.tacc.2015.02.001     Document Type: Note

References (54)

1. Patten S.P. Educating nurses about correct application of cricoid pressure. Assoc Perioper Registered Nurses J 2006, 84:449-461.
2. Sellick B.A. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet 1961, 19:404-406.
3. Mendelson C.L. The aspiration of stomach contents into the lungs during obstetric anaesthesia. Am J Obstetrics Gynecol 1946, 52:191-205.
4. Levitan R.M., Kinkle W.C., Levin W.J., Everett W.W. Laryngeal view during laryngoscopy: a randomized trial comparing cricoid pressure, backward-upward rightward pressure, and bimanual laryngoscopy. Ann Emerg Med 2006, 47:548-555.
5. Report on confidential enquiries into maternal deaths in England and Wales 1964-1966 1969, Department of Health, HMSO, London.
6. Confidential Enquiry into Maternal and Child Health. Why mothers die 1997-1999. The fifth report of the confidential enquiries into maternal deaths in the United Kingdom. London: RCOG; 137-138.
7. Confidential Enquiry into Maternal and Child Health. Why Mothers Die 2000-2002. The sixth report of the confidential enquiries into maternal Deaths in the United Kingdom. London: RCOG; 128.
8. The confidential enquiry into maternal and child health (CEMACH). Saving mothers' lives: reviewing maternal deaths to make motherhood safer: 2003-2005. The seventh report on confidential enquiries into maternal deaths in the United Kingdom 2007, CEMACH, London. G. Lewis (Ed.).
9. Centre for Maternal and Child Enquiries (2011) Saving mothers' lives: reviewing maternal deaths to make motherhood safer: 2006-2008. BJOG An Int J Obstetrics Gynaecol 2011, 118:1-203. 10.1111/j.1471-0528.2010.02847.x.
10. Rosen M. Anesthesia for obstetrics. Anaesthesia 1981, 36:145-146.
11. Walz J.S., Zayaruzny M., Heard S.O. Airway management in critical illness. Chest 2007, 131:608-620.
12. Kluger M.T., Short T.G. Aspiration during anaesthesia: a review of 133 cases from the Australia Anaesthetic Incident Monitoring Study (AIMS). Anaesthesia 1999, 54:19-26.
13. Sakai T., Planinsic R.M., Quinlana J.J., Handley L.J., Kim T.-Y., Hilmi I.A. The incidence and outcome of perioreative pulmonary aspiration in a university hospital: a 4-year retrospective analysis. Anesth Analgesia 2006, 103:941-947.
14. Neilipovitz D.T., Crosby E.T. No evidence for decreased incidence of aspiration after rapid sequence induction. Can J Anesth 2007, 54:748-764.
15. Lerman J. On cricoid pressure: 'May the force be with you'. Anesth Analgesia 2009, 109:1363-1366.
16. Ellis D.Y., Harris T., Zideman D. Cricoid pressure in the emergency department rapid sequence tracheal intubations: a risk-benefit analysis. Ann Emerg Med 2007, 50:653-665.
17. Brimacombe J.R., Berry A.M. Cricoid pressure. Can J Anaesth 1997, 44:414-425.
18. Cook T.M., Godfrey I., Rockett M., Vanner R.G. Cricoid pressure: which hand?. Anaesthesia 2000, 55:648-653.
19. Fenton P.M., Reynolds F. Life-saving or ineffective? An observational study of the use of cricoid pressure and maternal outcome in an African setting. Int J Obstetric Anaesth 2009, 18:106-110.
20. Vanner R.G. Cricoid pressure. Int J Obstetric Anesth 2009, 18:103-105.
21. Tourtier J.P., Compain M., Petitjeans F., et al. Acid aspiration prophylaxis in obstetrics in France: a comparative study of 1988 vs. 1998 French practice. Eur J Anaesthesiol 2004, 21:89-94.
22. Oehlkern L., Tilmant C., Gindre G., et al. Is cricoid pressure efficient? The first evidence. Anesthesiology 2003, 99:A1235.
23. Holmes N., Martin D., Begley A.-M. Cricoid pressure: a review of the literature. JPerioper Pract 2011, 21:234-238.
24. Vanner R.G., Asai T. Safe use of cricoid pressure. Anaesthesia 1999, 54:1-3.
25. Borland L.M., Sereika S.M., Woelfel S.K., Saitz E.W., Carrilo P.A., Motoyama E.K. Pulmonary aspiration in pediatric patients during general anesthesia: incidence and outcome. JClin Anesth 1998, 19:95-102.
26. Warner M.A., Warner M.E., Warner D.O., et al. Perioperative pulmonary aspiration in infants and children. Anesthesiology 1999, 90:66-71.
27. Warner M.A., Warner M.E., Weber J.G. Clinical significance of pulmonary aspiration during the perioperative period. Anesthesiology 1993, 78:56-62.
28. Olsson G.L., Hallen B., Hambraeus-Jonzon K. Aspiration during anaesthesia. A computer-aided study of 185 358 anaesthetics. Acta Anaesthesiol Scand 1986, 30:84-92.
29. Mellin-Olsen J., Fasting S., Gisvold S.E. Routine preoperative gastric emptying is seldom indicated. A study of 85,594 anaesthetics with special focus on aspiration pneumonia. Acta Anaesthesiol Scand 1996, 40:1184-1188.
30. Engelhardt T., Webster N.R. Pulmonary aspiration of gastric contents in anaesthesia. Br J Anaesth 1999, 83:453-460.
31. Phillips S., Daborn A.K., Hatch D.J. Preoperative fasting for paediatric anaesthesia. Br J Anaesth 1994, 73:529-536.
32. La Rosa M., Piva L., Dindelli M., Pagnoni B. Aspiration syndrome in Cesarean section. Our experience from 1980 to 1990. Minerva Anestesiol 1992, 58:1213-1220.
33. Soreide E., Bjornestad E., Steen P.A. An audit of perioperative aspiration pneumonitis in gynecological and obstetric patients. Acta Anaesthesiol Scand 1996, 40:14-19.
34. Stept W.J., Safar P. Rapid induction/intubation for prevention of gastric-content aspiration. Anesth Analgesia 1970, 49:633-636.
35. Fanning G.L. The efficacy of cricoid pressure in preventing regurgitation of gastric contents. Anesthesiology 1970, 32:553-555.
36. Salem M.R., Joseph N.J., Heyman H.J., et al. Cricoid compression is effective in obliterating the esophageal lumen in the presence of a nasogastric tube. Anesthesiology 1985, 63:443-446.
37. Vanner R.G., Pryle B.J. Regurgitation and oesophageal rupture with cricoid pressure: a cadaver study. Anaesthesia 1992, 47:732-735.
38. Neelakanta G. Cricoid pressure is effective in preventing esophageal regurgitation. Aneesthesiology 2003, 99:242.
39. Smith K.J., Dobranowski J., Yip G., Dauphin A., Choi P.T.-L. Cricoid pressure displaces the esophagus: an observational study using magnetic resonance imaging. Anaesthesiology 2003, 99:60-64.
40. Smith K.J., Ladak S., Choi P.T., et al. The cricoid cartilage and the esophagus are not aligned in close to half of adult patients. Can J Anesth 2002, 49:503-507.
41. Meek T., Gittins N., Duggan J.E. Cricoid pressure: knowledge and performance amongst anaesthetic assistants. Anaesthesia 1999, 54:59-62.
42. Stanton J. Literature review of safe use of cricoid pressure. JPerioper Pract 2006, 16:250-257.
43. Lawes E.G., Campbell I., Mercer D., et al. Inflation pressure, gastric insufflation and rapid sequence induction. Br J Anaesth 1987, 59:315-318.
44. Moynihan R.J., Brock-Utne J.G., Archer J.H., et al. The effect of cricoid pressure on preventing gastric insufflation in infants and children. Anesthesiology 1993, 78:652-656.
45. Petito S.P., Russell W.J. The prevention of gastric inflation-a neglected benefit of cricoid pressure. Anaesth Intensive Care 1988, 16:139-143.
46. Sellick B.A. The prevention of regurgitation during induction of anaesthesia. First Eur Congr Anaesthesiol 1962, 89:1-4.
47. Whittington R.M., Robinson J.S., Thompson J.M., et al. Fatal aspiration (Mendelson's) syndrome despite antacids and cricoid pressure. Lancet 1979, 2:228-230.
48. Williamson R. Cricoid pressure. Can J Anesth 1989, 36:601.
49. Howells T.H., Chamney A.R., Wraight W.J., et al. The application of cricoid pressure: an assessment and a survey of its practice. Anaesthesia 1983, 38:457-460.
50. Cook T.M., McCrirrick A. Asurvey of airway management during induction of general anaesthesia in obstetrics: are the recommendations of the confidential enquiries into maternal deaths being implemented?. Int J Obstetric Anesth 1994, 3:143-145.
51. Sury M.R.J., Palmer J.H.M.G., Cook T.M., Pandit J.J. The State of UK anaesthesia: a survey of National Health Service activity in 2013. Br J Anaesth 2014, 10.1093/bja/aeu292.
52. Fourth National Audit Project Major complications of airway management in the UK. Report and findings of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society March 2011.
53. M.v East Hertfordshire Health Authority Clinical negligence cases: anaesthesia claim 1991, Available from:, [Accessed May 2011]. http://www.ffw.com/feature/clinicalnegligence-cases%13;-an.aspx.
54. Bailie R., Stephens L., Warner M., Warner M., Domino K. Liability and risk factors associated with aspiration: closed claims analysis. ASA annual congress 2010, abstract a789.