ASSESSMENT OF CRICOID PRESSURE CATION BY ANESTHESIOLOGISTS

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NIKANDISH R.; ZAND F.; JAMSHIDI H.

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2007 | Volume:29 | Issue:57 Page(s): 17-23

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Title

ASSESSMENT OF CRICOID PRESSURE CATION BY ANESTHESIOLOGISTS

Author(s)

NIKANDISH R. | ZAND F. | JAMSHIDI H. | Issue Writer Certificate

Keywords

SELLICKS MANEUVERQ3

TRAININGQ2

ANESTHESIOLOGISTQ2

Abstract

Background: For 40 years cricoid pressure has been used to prevent regurgitation of gastric contents during induction of anesthesia. Available studies have highlighted poor techniques regarding cricoid pressure. Patient safety could be challenged by incorrect use of cricoid pressure. The aim of this study was to assess the practice and knowledge of cricoid pressure among ANESTHESIOLOGIST attending in the ninth International Congress of Anesthesiology and Resucitaltion in Iran. Materials and methods: This cross sectional observational study included 59 anesthesionlogists attending the 9th International Iranian Congress of Anesthesia and Resuscitation in 2006. Each subject was asked to apply cricoid pressure on an undressed laryngeal model for one minute. The model was an anatomically correct representation of the human larynx. It was mounted onto the base plate of kitchen scales (LAICA Italy) with a range of 0.000 to 10.000 kg and a resolution of 100g. The model was placed on a table such that the crioid cartilage was at a height of 1 metre from the ground. Participants were blinded to the results. Five measurements were obtained from each candidate (0, 15, 30, 45 and 60th second). Participants were also asked to complete a questionnaire containing demographic data and some questions regarding attiude and knowledge of participants regarding Sellicks maeuver.Results: Eighteen (30%) participants applied the target cricoid force (3-4 kg). When considering both correct anatomical position and right range of applied force only 11 (19%) participants were successful. Mean applied force significantly decreased at the end of one minute and mean applied force by women was significantly less than men. There was no statistically significant difference between academic staff and other ANESTHESIOLOGIST in application of target force. Only eight (13.6%) participant were aware of the target cricoid force.Conclusion: Application of cricoid pressure by the participant ANESTHESIOLOGIST is poor. Use of simple models for TRAINING of anesthesia trainee and in refresher courses for practicing ANESTHESIOLOGIST in addition of stressing on the theorytical base may improve the quality of performance of the SELLICKS MANEUVER.

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APA: Copy

NIKANDISH, R., ZAND, F., & JAMSHIDI, H.. (2007). ASSESSMENT OF CRICOID PRESSURE CATION BY ANESTHESIOLOGISTS. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 29(57), 17-23. SID. https://sid.ir/paper/63232/en

Vancouver: Copy

NIKANDISH R., ZAND F., JAMSHIDI H.. ASSESSMENT OF CRICOID PRESSURE CATION BY ANESTHESIOLOGISTS. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2007;29(57):17-23. Available from: https://sid.ir/paper/63232/en

IEEE: Copy

R. NIKANDISH, F. ZAND, and H. JAMSHIDI, “ASSESSMENT OF CRICOID PRESSURE CATION BY ANESTHESIOLOGISTS,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 29, no. 57, pp. 17–23, 2007, [Online]. Available: https://sid.ir/paper/63232/en

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