Efficacy of Cricoid Pressure in Preventing Aspiration of Gastric Contents in Paediatric Patients

Salem, M. Ramez; Wong, A Y; Fizzotti, Giovanni F.

doi:10.1093/bja/44.4.401

Cited by 86 publications

(24 citation statements)

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“…The Confidential Enquiries into Maternal Deaths highlighted the danger of aspiration during Cesarian section in the UK and the use of RSI has been the norm for all emergency surgery where the patient is thought to have a full stomach. Salem et al (5) reported the efficacy of cricoid pressure in children in 1972. At this time there were few alternatives for preventing aspiration, however, the risks associated with the use of suxamethonium, especially in children, have since become apparent (6).…”

Section: Discussionmentioning

confidence: 99%

RSI in pediatric anesthesia – is it used by nonpediatric anesthetists? A survey from south‐west England

Stedeford

Stoddart

2006

Pediatric Anesthesia

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Classical RSI is used for children by most anesthetists in south-west England. RSI is modified for infants especially by more recently trained consultants. Suxamethonium is used less by consultant anesthetists. Whilst RSI is performed for appendicectomy there is a large variation in techniques for anesthetizing children for MUA and scrotal exploration which is independent of the grade of anesthetist.

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Section: Discussionmentioning

confidence: 99%

RSI in pediatric anesthesia – is it used by nonpediatric anesthetists? A survey from south‐west England

Stedeford

Stoddart

2006

Pediatric Anesthesia

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“…Two LOE 5 studies 170,171 showed that cricoid pressure may reduce gastric inflation in children. One LOE 5 study in children 172 and 1 LOE 5 study in adult cadavers 173 demonstrated that esophageal reflux is reduced with cricoid pressure.…”

Section: Airway and Ventilationmentioning

confidence: 99%

Part 10: Pediatric Basic and Advanced Life Support

Kleinman

Caen

Chameides³

et al. 2010

Circulation

184

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Note From the Writing Group: Throughout this article, the reader will notice combinations of superscripted letters and numbers (eg, “Family Presence During ResuscitationPeds-003”). These callouts are hyperlinked to evidence-based worksheets, which were used in the development of this article. An appendix of worksheets, applicable to this article, is located at the end of the text. The worksheets are available in PDF format and are open access.

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“…Salem subsequently reported the efficacy of cricoid pressure in children, in 1972. [18] At that time there were few alternatives for preventing aspiration, however, the risks associated with the use of suxamethonium, especially in children, have become apparent and with more agents available to improve the intubating conditions, many anaesthetists are avoiding the use of suxamethonium. [19]…”

Section: Introductionmentioning

confidence: 99%

Paediatric airway management: What is new?

2012

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Airway management plays a pivotal role in Paediatric Anaesthesia. Over the last two decades many improvements in this area have helped us to overcome this final frontier. From an era where intubation with a conventional laryngoscope or blind nasal intubation was the only tool for airway management, we have come a long way. Today supraglottic airway devices have pride of place in the Operating Room and are becoming important airway devices used in routine procedures. Direct and indirect fibreoptic laryngoscopes and transtracheal devices help us overcome difficult and previously impossible airway situations. These developments mean that we need to update our knowledge on these devices. Also much of our basic understanding of the physiology and anatomy of the paediatric airway has changed. This article attempts to shed light on some of the most important advances/opinions in paediatric airway management like, cuffed endotracheal tubes, supraglottic airway devices, video laryngoscopes, rapid sequence intubation, the newly proposed algorithm for difficult airway management and the role of Ex Utero Intrapartum Treatment (EXIT) procedure in the management of the neonatal airway.

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Efficacy of Cricoid Pressure in Preventing Aspiration of Gastric Contents in Paediatric Patients

Cited by 86 publications

References 0 publications

RSI in pediatric anesthesia – is it used by nonpediatric anesthetists? A survey from south‐west England

RSI in pediatric anesthesia – is it used by nonpediatric anesthetists? A survey from south‐west England

Part 10: Pediatric Basic and Advanced Life Support

Paediatric airway management: What is new?

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