Assessing the Force Generated With Application of Cricoid Pressure

The application of cricoid pressure is a common technique used to decrease the risk of aspiration during anesthetic induction. Research recommends that 3 to 4 kg of cricoid force be applied to achieve effective esophageal occlusion. The purpose of this study was to assess perioperative nurses'...

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Bibliographic Details
Published in:AORN journal 2000-12, Vol.72 (6), p.1018,1028,1030-1026,1028,1030
Main Authors: Koziol, Carol A., Cuddeford, James D., Moos, Dan D.
Format: Article
Language:English
Subjects:
Airway obstruction (Medicine)
Analysis
Anesthesia
Anesthesia, General - nursing
Biomechanical Phenomena
Care and treatment
Clinical Competence
Cricoid Cartilage
Female
General anesthesia
Health care
Humans
Laryngeal cartilages
Larynx
Male
Management
Methods
Midwestern United States
Models, Structural
Nurses
Nursing
Perioperative Nursing - education
Perioperative Nursing - methods
Perioperative Nursing - standards
Pneumonia, Aspiration - prevention & control
Pressure - adverse effects
Respiratory system
Vomiting
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Summary:The application of cricoid pressure is a common technique used to decrease the risk of aspiration during anesthetic induction. Research recommends that 3 to 4 kg of cricoid force be applied to achieve effective esophageal occlusion. The purpose of this study was to assess perioperative nurses' knowledge regarding the recommended amount of cricoid force that should be applied to the cricoid cartilage and to assess the amount of force generated when cricoid pressure was applied to a scale-mounted model. A convenience sample of 102 perioperative nurses participated in the study. Five percent of participants identified the correct amount of force necessary. Applied force was significantly less than the recommended amount. Findings of this study suggest perioperative nurses lack both knowledge and clinical skill for generating effective amounts of cricoid force. AORN J 72 (Dec 2000) 1018–1030.
ISSN:0001-2092
1878-0369
DOI:10.1016/S0001-2092(06)61907-8