Systematic Review and Meta-Analysis of Cricoid Pressure Training and Education Efficacy

AORN Journal
Lorna BeckfordRonell Kirkley

Abstract

We examined the evidence on the effectiveness of education and training on cricoid pressure (ie, Sellick maneuver) application. Cricoid pressure is used during rapid sequence induction and intubation to reduce the risk of pulmonary aspiration. We searched seven databases for studies on the education and training of health care personnel expected to apply cricoid pressure as a part of their regular clinical responsibilities. We appraised the included studies using standardized tools validated for this purpose and we performed a meta-analysis of the eight eligible studies. The success rate for intubation increased after training according to the random effect model (95% CI = 0.157 to 0.452). Fisher's method combined probability test rejected the null hypothesis for patients (P = 4.93e-6), indicating that the application of cricoid pressure significantly improved after educational interventions. Regularly scheduled training in the application of cricoid pressure could sustain health care personnel's ability to apply effective cricoid pressure.

References

Jan 1, 1991·Anaesthesia·S J Ralph, C A Wareham
Jan 1, 1986·Acta Anaesthesiologica Scandinavica·G L OlssonK Hambraeus-Jonzon
May 1, 1983·Anaesthesia·W J WraightT H Howells
Oct 1, 1996·British Journal of Anaesthesia·N AshurstE Gouws
Apr 21, 1999·Anaesthesia·R G Vanner, T Asai
Sep 30, 2000·Anaesthesia·S Walton, A Pearce
Feb 13, 2001·The Journal of Emergency Medicine·A M HoB A Tay
Dec 21, 2002·Anaesthesia·A J Cadamy, C Bong
Sep 17, 2003·Anaesthesia and Intensive Care·M E EscottJ L Plummer
Feb 5, 2004·The British Journal of Surgery·T P GrantcharovP Funch-Jensen
Apr 15, 2004·Resuscitation·Peter J F Baskett, Thomas F Baskett
Mar 8, 2005·Critical Care Nursing Clinics of North America·Rebecca E Long
Jul 22, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Andreas Kopka, David Robinson
Sep 29, 2006·AORN Journal·Stephen P Patten
Jun 15, 2007·Emergency Medicine Australasia : EMA·Paul Quigley, Penelope Jeffrey
Sep 4, 2007·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·David T Neilipovitz, Edward T Crosby
Jan 22, 2009·Resuscitation·K J DomurackiJ L Plummer
Apr 1, 2009·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Ross A BeaversJames D Cuddeford
Mar 20, 2010·Anesthesia and Analgesia·Mohammad El-Orbany, Lois A Connolly
Feb 28, 2014·Journal of Anaesthesiology, Clinical Pharmacology·Nidhi BhatiaIndu Sen
Apr 18, 2014·International Journal of Critical Illness and Injury Science·Joshua C StewartRamesh Ramaiah
Aug 26, 2012·World Journal of Methodology·George A Kelley, Kristi S Kelley
May 29, 2016·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Melissa LefaveMolly Wright
Jun 18, 2017·Fertility Research and Practice·Holly R Harris, Kathryn L Terry

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Citations

Feb 6, 2021·Gastroenterología y hepatología·Montserrat Cornet-VilallongaIgnasi Puig
May 1, 2021·AORN Journal·Emily Jones

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