‘This is nothing new’ you might say. Why am I mentioning this? Well, the remarkable thing about this article is the fact that it was published in a Journal that is a joint venture of the British Journal of Anaesthesia BJA and The Royal College of Anaesthetists in collaboration with the Intensive Care Society and Pain Society. Considering the fact that The NAP4 guidelines continue to support its use as part of an RSI and as such, it is still considered a standard of care in the UK and therefore also Ireland, this publication might indicate some change in mind… or not?
The authors summarize: Application of cricoid pressure is advisable — unless it obscures the view at laryngoscopy or interferes with manual ventilation or supraglottic airway device placement.I personally still would want to know what exactly makes a ‘Level 5’ medical intervention ‘advisable’ especially in regards of all the possible problems and complications associated with it.
Read our previous BIJC post: Cricoid Pressure for RSI in the ICU: Time to Let Go? (Updated)