Obstetric tracheal intubation guidelines and cricoid pressure

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Cricoid pressure impedes placement of the laryngeal mask airway and subsequent tracheal intubation through the mask.

We have studied 40 patients to see if cricoid pressure affects the success rate of ventilation through, and the position of, the laryngeal mask and subsequent fiberscope-aided tracheal intubation. Adequate ventilation of the lungs was produced through the laryngeal mask in 19 of 20 patients in the control group, but in only 10 of 20 patients in the cricoid pressure group (P < 0.002). The laryng...

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Cricoid pressure decreases ease of tracheal intubation using fibreoptic laryngoscopy (WuScope System.

PURPOSE Cricoid pressure is commonly used during rapid sequence induction and intubation to minimize the risk of aspiration. The objective of the study was to evaluate the ease of fibreoptic (WuScope System(TM)) intubation in anesthetized adults receiving cricoid pressure. METHODS The intubation difficulty scale (IDS) was used to measure tracheal intubation difficulties in 33 patients undergo...

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The gum elastic bougie eases tracheal intubation while applying cricoid pressure compared to a stylet.

PURPOSE To compare the ease of tracheal intubation facilitated by the gum elastic bougie or the malleable stylet while applying cricoid pressure. METHODS Sixty American Society of Anesthesiologists I-III adult patients undergoing elective surgeries participated in this study. After induction of anesthesia with 2.5 mg x kg(-1) propofol and vecuronium 0.1 mg x kg(-1), the laryngeal view was ass...

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Effect of cricoid pressure on laryngeal view during prehospital tracheal intubation: a propensity-based analysis.

BACKGROUND The benefit of cricoid pressure during tracheal intubation is still debated and, due to its potential negative impact on laryngeal views, its routine use is questioned. The goal of this study was to estimate its impact on laryngeal view. METHODS All patients intubated in the prehospital setting were included. Three different propensity score (PS) models were used and compared in te...

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Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics*

The Obstetric Anaesthetists' Association and Difficult Airway Society have developed the first national obstetric guidelines for the safe management of difficult and failed tracheal intubation during general anaesthesia. They comprise four algorithms and two tables. A master algorithm provides an overview. Algorithm 1 gives a framework on how to optimise a safe general anaesthetic technique in ...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2016

ISSN: 0003-2409

DOI: 10.1111/anae.13382