PMID: 8942330Oct 1, 1996Paper

Use of a mechanical simulator for training in applying cricoid pressure

British Journal of Anaesthesia
N AshurstE Gouws

Abstract

Using an airway management training model, we have assessed anaesthesia personnel in their use of correct cricoid force and ability to retain this skill after a short training programme. A perspex device, working on a hydraulic principle, was used to measure cricoid pressure when applied to the model. After initial assessment at two levels of cricoid force (20 and 40 N), participants undertook additional training on 3 consecutive days. Thereafter, available participants underwent reassessment at 14-21 days. Forty-nine anaesthetic assistants and anaesthetists underwent initial assessment and 18 completed the full training and reassessment. Untrained, the majority (63%) of participants applied inadequate cricoid force with a wide variation (mean 16.8 (SD 9.3) (range 4.5-43.0) at 20 N and 32.9 (13.3) (14.9-74) at 40 N). After a single training session there was a marked improvement in application of cricoid force. Two additional training sessions did not provide further improvement. After 14-21 days the ability of participants to apply correct cricoid force was retained by 72% of subjects. Those who applied inadequate cricoid force initially were more likely to do so even after training. Most subjects applied too great a cricoid f...Continue Reading

Citations

Dec 31, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Douglas D SniderBrendan T Finucane
Nov 13, 2001·Anaesthesia·J Morris, T M Cook
Apr 25, 2013·British Journal of Anaesthesia·R L JohnsonD A Cook
Jul 22, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Andreas Kopka, David Robinson
Apr 1, 2009·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Ross A BeaversJames D Cuddeford
Jan 22, 2009·Resuscitation·K J DomurackiJ L Plummer
Feb 27, 2003·Anaesthesia·C Mearns, J Elliott
Nov 18, 2003·Anaesthesia·N P Wilson
Jan 17, 2007·Anaesthesia·D Cumin, A F Merry
Oct 30, 2004·Computer Methods in Biomechanics and Biomedical Engineering·Leah DellaniniSusan Stover
Jan 4, 2017·Anesthesiology·M Ramez SalemGeorge J Crystal
Apr 10, 2002·Anaesthesia·T J Clayton, R G Vanner
Aug 11, 2005·Emergency Medicine Australasia : EMA·Rachel K Clark, Christopher E Trethewy
Jun 15, 2007·Emergency Medicine Australasia : EMA·Paul Quigley, Penelope Jeffrey
Aug 30, 2000·European Journal of Anaesthesiology·C J FluckerM Ruth
May 12, 2018·Anesthesia and Analgesia·Eric NollElliott Bennett-Guerrero
Jan 21, 2015·Anesthesia and Analgesia·Randolph H Hastings, Timothy C Rickard
Dec 12, 2001·Acta Anaesthesiologica Scandinavica·A Schmidt, J Akeson
Aug 29, 2019·BMC Research Notes·Naod Bulti Etanaa, Kore Menjie Benwu

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