Cricoid Pressure; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 8 November 2018

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

We've heard a lot about advanced airway management recently, with some really significant publications over the last few months and in the last few weeks in JAMA we've had another!

Cricoid pressure during emergency anaesthesia and for those at high risk of aspiration has been common place for more than half a century. But it's a topic that has caused quite some debate. On one hand it has the potential to reduce aspiration, a very real and potentially very serious complication of RSI. But on the other it has the potential to hinder the view on laryngoscopy and decrease first pass success.

The founding evidence for cricoid pressure has always been a little soft. In this podcast we look at the background of cricoid pressure and then run through this key paper, discussing the implications it holds for both pre and in-hospital advanced airway management.

As always we'd love to hear any thoughts or comments you have on the website and via twitter, we look forward to hearing from you.

Enjoy!

Simon, Rob & James

References

Effect of Cricoid Pressure Compared With a Sham Procedure in the Rapid Sequence Induction of Anaesthesia: The IRIS Randomized Clinical Trial. Birenbaum A. JAMA Surg 2018

Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Sellick BA Lancet.1961

Safer Prehospital Anaesthesia 2017;AAGBI

JC: Cricoid Pressure and RSI, do we still need it?St Emlyn’s

Cricoid: To press, or not to press?(Hinds and May)

Transcript

Click on a timestamp to play from that location

0:00.0	Welcome to the Recess Room podcast.
0:03.9	Five, four, three, two, one, fire.
0:13.1	So hi, and welcome back to the Reesist Room podcast. I'm Simon Lang.
0:18.1	And I'm Rob Fenwick. And I'm James Yates.
0:20.5	And we've got another
0:21.7	Roadside to Reesus
0:23.4	Brackets Mini
0:24.8	Because this is not going to be a long episode
0:27.8	No it's not is it
0:29.3	If ever there were three men
0:31.8	That could stretch out this topic
0:33.5	To several days
0:34.8	It would be us three
0:35.8	So we'll have this wrapped up
0:37.4	In no longer than two hours.
0:39.4	And it's going to be on a topic which is very topical at the moment. Indeed. So cry-coid
0:46.0	pressure. You might have heard some people talking about it online recently. Yes, I might have.
0:53.3	That is what we're going to be talking about, Jens. So I certainly hope you have.
0:57.2	So before we get started, a huge thanks to Abrak for supporting the podcast. They provide high
1:02.5	quality advanced clinical practitioners to emergency departments up and down the UK. If you want
1:07.2	to find out a bit more about their service, then go and have a look on the hyperlink on the website.
1:11.4	But that is enough of that.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Simon Laing, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Simon Laing and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.