Case reportAirway obstruction following application of cricoid pressure
References (11)
- et al.
Laryngotracheal trauma: recognition and management
J Am Coll Emerg Phys
(1976) - et al.
Initial evaluation and management of upper airway injuries in trauma patients
J Clin Anesth
(1991) - et al.
Blunt trauma to the cervical portion of the trachea
Br J Anesth
(1983) - et al.
Laryngotracheal trauma: a protocol approach to a rare injury
Laryngoscope
(1986) - et al.
Blunt and penetrating laryngeal trauma: a 13 year review
Otolaryngol Head Neck Surg
(1980)
Cited by (46)
Use of point-of-care ultrasound to assess esophageal insufflation during bag mask ventilation: A case report
2019, Respiratory Medicine Case ReportsCitation Excerpt :Interestingly, in this case, esophageal compression and cricoid pressure both resulted in attenuation of air entry into the esophagus (Fig. 2C and D). Classically, cricoid pressure has been used to prevent gastric regurgitation in unresponsive patients with an unsecured airway, yet in recent years the benefit of cricoid pressure has been called into question [9–13]. In 2017, Kei et al. showed that cricoid pressure could not prevent liquid from entering the esophagus [3].
Difficult Airway Society 2015 guidelines for the management of unanticipated difficult intubation in adults: Not just another algorithm
2015, British Journal of AnaesthesiaDifficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults
2015, British Journal of AnaesthesiaCitation Excerpt :Current evidence suggests that if applied correctly, cricoid pressure may improve the view on direct laryngoscopy.45 However, there are many reports demonstrating that it is often poorly applied, and this may make mask ventilation, direct laryngoscopy, or SAD insertion more difficult.46–52 If initial attempts at laryngoscopy are difficult during rapid sequence induction, cricoid pressure should be released.
European Resuscitation Council Guidelines for Resuscitation 2015. Section 3. Adult advanced life support.
2015, ResuscitationCitation Excerpt :Application of cricoid pressure during bag-mask ventilation reduces gastric inflation.632–635 Studies in anaesthetised patients show that cricoid pressure impairs ventilation in many patients, increases peak inspiratory pressures and causes complete obstruction in up to 50% of patients depending on the amount of cricoid pressure (in the range of recommended effective pressure) that is applied.632,633,636–641 Accidental dislodgement of a tracheal tube can occur at any time, but may be more likely during resuscitation and during transport.
Complications of Managing the Airway
2013, Benumof and Hagberg's Airway ManagementComplications of Managing the Airway
2012, Benumof and Hagberg's Airway Management: Third Edition
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Clinical/Research Fellow, Department of Anesthesia, Massachusetts General Hospital
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Instructor in Anaesthesia, Harvard Medical School, Boston, MA