Learning to apply effective cricoid pressure using a part task trainer

Owen, Harry; Follows, Valerie; Reynolds, Karen; Burgess, George E.; Plummer, John L.

doi:10.1046/j.1365-2044.2002.02836.x

Cited by 56 publications

(71 citation statements)

References 23 publications

(29 reference statements)

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“…It also supports the findings of previous work relating to the inconsistency of forces applied by different anaesthetists [2]. We would argue that the proposals put forward to the BSI regarding disposable laryngoscope blades are inadequate.…”

supporting

confidence: 87%

“…Simulation of the ultrasound appearances during CVC placement might aid the development of the necessary manual co-ordination skills without compromising patient safety. Furthermore, the experiences of part task simulation in the training of other similar clinical skills suggest that it can play an important role [2]. The main disadvantage of phantoms is the production costs and degradation of the ultrasound medium during use.…”

Section: ó 2004 Blackwell Publishing Ltdmentioning

confidence: 99%

“…IAH is defined as a urinary bladder pressure greater than 18 mmHg (25 cm H 2 O) [1]. Various clinical conditions are associated with this syndrome, including massive intraabdominal or retroperitoneal haemorrhage, severe gut oedema, intestinal obstruction, ascites under pressure, burn eschars, tight abdominal closures and repair of large hernias [2,3]. Successful therapy often requires abdominal , pages 1138-1148 .…”

Section: ó 2004 Blackwell Publishing Ltdmentioning

confidence: 99%

“…It would follow that these proposals would also be applied to completely disposable laryngoscopes. However, it has also been shown that the force applied to a laryngoscope blade varies not only with the material of manufacture [1] but also with the practitioner [2].…”

mentioning

confidence: 99%

See 3 more Smart Citations

A reusable ultrasound phantom

Chantler¹,

Gale²,

Weldon³

2004

Anaesthesia

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supporting

confidence: 87%

Section: ó 2004 Blackwell Publishing Ltdmentioning

confidence: 99%

Section: ó 2004 Blackwell Publishing Ltdmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

A reusable ultrasound phantom

Chantler¹,

Gale²,

Weldon³

2004

Anaesthesia

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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

686

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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Cricoid Pressure: Contradictory Evidence Regarding a Standard Practice

Dunn¹

2022

AORN Journal

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The purpose of applying cricoid pressure is to prevent pulmonary aspiration of regurgitated gastric contents during airway management in mask‐ventilated patients who are at risk of aspiration. Providers may apply cricoid pressure during induction and intubation if they expect a difficult intubation or if the patient has a high risk for regurgitation. Although the application of cricoid pressure has been accepted as a standard practice worldwide, controversy persists because pulmonary aspiration can occur even when cricoid pressure is applied. The perioperative nurse should have thorough knowledge of the anatomy of the upper respiratory and gastrointestinal tracts, be able to demarcate the surface landmarks of the neck, and be skilled in applying cricoid pressure properly and safely. This article discusses cricoid pressure in the context of safe airway management as well as the perioperative nurse’s role as an assistant to the anesthesia professional when applying cricoid pressure.

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Learning to apply effective cricoid pressure using a part task trainer

Cited by 56 publications

References 23 publications

A reusable ultrasound phantom

A reusable ultrasound phantom

Part 5: Adult Basic Life Support

Cricoid Pressure: Contradictory Evidence Regarding a Standard Practice

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