ABSTRACT

The application of cricoid pressure may help reduce the incidence of pulmonary aspiration in at-risk patients. Research has shown that most clinicians have a cognitive deficit concerning the correct amount of pressure to apply, anatomical landmarks and apply the incorrect amount of pressure. Too much pressure may lead to an airway obstruction or distorted view for laryngoscopy. Too little pressure may lead to pulmonary aspiration. It is imperative that clinicians who apply cricoid pressure have a thorough knowledge of basic anatomy, have a basic understanding of regurgitation/aspiration, indications, complications, contraindications and common problems/mistakes when applying cricoid pressure. Various teaching strategies to help the clinician apply correct and effective cricoid pressure have been described in the literature. All clinicians should be formally trained in the proper technique for the application of cricoid pressure.

ABSTRACT

Working in the community dental service for 16(LAH) and 19(APJL) years, in common we are sure with many readers, we have observed marked differences in perioperative behaviour which could not be adequately explained when all the other usually influencing factors appeared constant and sought an alternative explanation by evaluating any lunar influence.