Cricoid pressure: a simple, yet effective biofeedback trainer

Kopka, A.; Crawford, J.

doi:10.1097/00003643-200406000-00005

Cited by 31 publications

(24 citation statements)

References 19 publications

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“…Seven randomized, controlled studies demonstrated that cricoid pressure can delay or prevent the placement of an advanced airway and that aspiration can occur despite application of pressure. 174 -180 Additional manikin studies [181][182][183][184][185][186][187][188][189][190][191][192][193][194] found training in the maneuver to be difficult for both expert and nonexpert rescuers. Neither expert nor nonexpert rescuers demonstrated mastery of the technique, and the applied pressure was frequently inconsistent and outside of effective limits.…”

Section: Cricoid Pressurementioning

confidence: 99%

Part 5: Adult Basic Life Support

Berg¹,

Robin²,

Abella³

et al. 2010

Circulation

698

495

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Basic life support (BLS) is the foundation for saving lives following cardiac arrest. Fundamental aspects of BLS include immediate recognition of sudden cardiac arrest (SCA) and activation of the emergency response system, early cardiopulmonary resuscitation (CPR), and rapid defibrillation with an automated external defibrillator (AED). Initial recognition and response to heart attack and stroke are also considered part of BLS. This section presents the 2010 adult BLS guidelines for lay rescuers and healthcare providers. Key changes and continued points of emphasis from the 2005 BLS Guidelines include the following:• Immediate recognition of SCA based on assessing unresponsiveness and absence of normal breathing (ie, the victim is not breathing or only gasping) Despite important advances in prevention, SCA continues to be a leading cause of death in many parts of the world. 1 SCA has many etiologies (ie, cardiac or noncardiac causes), circumstances (eg, witnessed or unwitnessed), and settings (eg, out-of-hospital or in-hospital). This heterogeneity suggests that a single approach to resuscitation is not practical, but a core set of actions provides a universal strategy for achieving successful resuscitation. These actions are termed the links in the "Chain of Survival." For adults they include When these links are implemented in an effective way, survival rates can approach 50% following witnessed out-ofhospital ventricular fibrillation (VF) arrest. 2 Unfortunately survival rates in many out-of-hospital and in-hospital settings fall far short of this figure. For example, survival rates following cardiac arrest due to VF vary from approximately 5% to 50% in both out-of-hospital and in-hospital settings. 3,4 This variation in outcome underscores the opportunity for improvement in many settings.Recognition of cardiac arrest is not always straightforward, especially for laypersons. Any confusion on the part of a rescuer can result in a delay or failure to activate the emergency response system or to start CPR. Precious time is lost if bystanders are too confused to act. Therefore, these adult BLS Guidelines focus on recognition of cardiac arrest with an appropriate set of rescuer actions. Once the lay bystander recognizes that the victim is unresponsive, that bystander must immediately activate (or send someone to activate) the emergency response system. Once the healthcare provider recognizes that the victim is unresponsive with no breathing or no normal breathing (ie, only gasping) the healthcare provider will activate the emergency response system. After activation, rescuers should immediately begin CPR.Early CPR can improve the likelihood of survival, and yet CPR is often not provided until the arrival of professional emergency responders. 5 Chest compressions are an especially critical component of CPR because perfusion during CPR

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Section: Cricoid Pressurementioning

confidence: 99%

Part 5: Adult Basic Life Support

Berg¹,

Robin²,

Abella³

et al. 2010

Circulation

698

495

View full text Add to dashboard Cite

show abstract

“…Another study had two distinct sets of data; therefore, this review includes eight primary studies encompassing nine sets of data. Two studies were RCTs; one study was a quasi‐experimental study; one was a pretest/posttest study with a control group; and the remaining studies were pretest‐/posttest‐only studies . Three studies also tested for knowledge of the cricoid pressure procedure using either a written test or verbal questioning before the intervention …”

Section: Resultsmentioning

confidence: 99%

“…In this review, we examined whether education affects a health care provider's ability to apply cricoid pressure effectively when the application of cricoid pressure is a part of their regular clinical duties. Of the eight studies reviewed, we identified all participant deficits in applying the maneuver before training, and in three studies, we identified knowledge deficits before training . All eight studies revealed a lack of knowledge of correct cricoid anatomy and pressure as well as a lack of ability to apply correct force to a model.…”

Section: Narrative Synthesismentioning

confidence: 99%

“…The model used for the application of cricoid pressure varied among the studies. Several studies used calibrated scales as a mechanical simulator where participants were blinded to the initial pressure results; one study used a biofeedback trainer; and one study involved participants standing on a force plate that measured pressure . Two studies used devices specifically made for their study.…”

Section: Narrative Synthesismentioning

confidence: 99%

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Systematic Review and Meta‐Analysis of Cricoid Pressure Training and Education Efficacy

Beckford¹,

Holly²,

Kirkley³

2018

AORN Journal

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We examined the evidence on the effectiveness of education and training on cricoid pressure (ie, Sellick maneuver) application. Cricoid pressure is used during rapid sequence induction and intubation to reduce the risk of pulmonary aspiration. We searched seven databases for studies on the education and training of health care personnel expected to apply cricoid pressure as a part of their regular clinical responsibilities. We appraised the included studies using standardized tools validated for this purpose and we performed a meta-analysis of the eight eligible studies. The success rate for intubation increased after training according to the random effect model (95% CI = 0.157 to 0.452). Fisher's method combined probability test rejected the null hypothesis for patients (P = 4.93e-6), indicating that the application of cricoid pressure significantly improved after educational interventions. Regularly scheduled training in the application of cricoid pressure could sustain health care personnel's ability to apply effective cricoid pressure.

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“…Elastoplast cricoid (hardware; no physiology; psychomotor) A roll of adhesive tape has been employed by Kopka and Crawford [107] and Cook et al [108] to simulate the cricoid cartilage.…”

Section: Metimentioning

confidence: 99%

Simulators for use in anaesthesia

Cumin

Merry

2007

Anaesthesia

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SummaryThere are many simulators available for use in anaesthetic-related education and research. Those who wish to purchase a simulator or to establish a simulation facility face a daunting task in understanding the differences between simulators. Recent reviews have focused on narrower areas of simulation, such as airway management or basic life support, or on the application of simulators. It would be difficult to deal in detail with every simulator ever made for anaesthesia, but in the present review we cover the spectrum of currently available anaesthetic simulators, provide an overview of different types of simulator, and discuss a selection of simulators of particular interest, including some of historical significance and some examples of 'home made' simulators. We have found no common terminology amongst authors for describing or classifying simulators, and propose a framework for describing (or classifying) them that is simple, clear and applicable to any simulator.

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Cricoid pressure: a simple, yet effective biofeedback trainer

Cited by 31 publications

References 19 publications

Part 5: Adult Basic Life Support

Part 5: Adult Basic Life Support

Systematic Review and Meta‐Analysis of Cricoid Pressure Training and Education Efficacy

Simulators for use in anaesthesia

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