Airway management

A novel cricoid pressure sensor device enhances the efficacy of oesophageal occlusion during Sellick's manoeuvre: A randomised controlled trial

Eur J AnaesthesiolPublished Randomised controlled trial

Authors' conclusion

The use of the novel sensor device achieved a significantly high rate of oesophageal occlusion during application of cricoid pressure.

Study context

Population
ASA I/II adults scheduled for elective surgery under GA requiring tracheal intubation; neck comorbidities, aspiration risk, anticipated difficult airway and BMI ≥35 kg m −2 excluded64 completed
Participants
65 adults
Comparison
Feedback vs Control
Primary endpoint
Rate of occlusion of oesophageal opening (12 CH orogastric tube could not be inserted into oesophageal entrance during videolaryngoscopy)
Methodological detailsprospective, single-centre, Tertiary University Hospital, May to December 2021
  • Prospective
  • Single-centre
  • Tertiary University Hospital, May to December 2021

Primary result

As reported in the abstract

P = 0.001

Secondary outcomes

Force applied during cricoid pressure

P < 0.001

Median

OutcomeFeedbackControlP value
Anteroposterior oesophageal diameter during cricoid pressure (ultrasound)0.49 (IQR 0.36–0.56)0.57 (IQR 0.48–0.65)P = 0.006
  • Force applied during cricoid pressure: significantly better and consistent at all time points in feedback group

Original publication

A novel cricoid pressure sensor device enhances the efficacy of oesophageal occlusion during Sellick's manoeuvre: A randomised controlled trial. Eur J Anaesthesiol. Published 7 November 2024. doi:10.1097/eja.0000000000002097

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