In obese pregnant women strategies to minimise risk include the use of H2 antagonists, non-particulate antacids and rapid sequence induction with cricoid
pressure, with placement of a cuffed tracheal tube (119).
First locate the thyroid cartilage (Adam's apple) with thumb and index finger, then slide your fingers inferiorly until you feel another smaller cartilage below (the cricoid
Distortion --Possibly difficult to assess --Blunt or penetrating airway trauma --Tracheal deviation --Neck asymmetry --Voice changes --Subcutaneous emphysema (crepitus) --Laryngeal immobility --Nonpalpable thyroid cartilage --Nonpalpable cricoid
pressure in emergency department rapid sequence tracheal intubation: a risk-benefit analysis.
At the time of surgery, the tumor was densely adherent to the anterolateral area of the right side of the cricoid
cartilage and the first two tracheal rings, requiring an extensive dissection.
A 3-person trauma team perform intubation, routinely applying cricoid
pressure to prevent gastro-oesophageal reflux and aspiration, and manual in-line cervical stabilisation is required throughout the intubation procedure since protective devices are removed routinely.
During ventilation, cricoid
pressure should be initiated if not done already, and should only be released once the patient is correctly intubated and the tube cuff has been inflated.
Sercarz et al described a case of ABC arising from the cricoid
A patient aspirated into the lungs during bowel obstruction surgery after a scrub nurse released cricoid
pressure to retrieve a fallen suction device.
Paramedics had to complete a two-day university course on RSI covering theoretical knowledge and practical skills and were trained in performing RSI--including induction, paralysis and cricoid
pressure--according to the standard operating procedure (SOP) following telephonic physician approval.
The trachea was exposed and isolated through a curvilinear incision that started just beneath the cricoid
It is more difficult to determine accurate landmarks on a thick and obese neck, and misapplied cricoid
pressure may permit gastric insufflation and regurgitation and compromise laryngoscopy and intubation.