Pediatric anesthesia & critical care

Quantifying the Effective Cricoid Force to Occlude the Esophageal Entrance in Anesthetized and Muscle-Relaxed Children: A Videolaryngoscopy-Based Assessment

Anaesth Crit Care Pain MedPublished Dose-finding study

Authors' conclusion

Age-appropriate cricoid force applied under videolaryngoscopic guidance effectively occludes the esophageal entrance without compromising endotracheal intubation.

Study context

Population
Anesthetized, muscle-relaxed children undergoing Glidescope® videolaryngoscopy
Participants
40 / 40 / 40
Comparison
Cricoid force required by age group
  • Group 1n = 40
  • Group 2n = 40
  • Group 3n = 40
Outcome
Median cricoid force required to prevent suction catheter insertion into the esophagus in 90% of patients
Methodological detailsbiased-coin up-and-down design, videolaryngoscopy-based assessment
  • Biased-coin up-and-down design
  • Videolaryngoscopy-based assessment

Main finding

As reported in the abstract

Cricoid force preventing esophageal suction catheter insertion in 90% of patients

Safety

No instances of difficult endotracheal intubation

Original publication

Quantifying the Effective Cricoid Force to Occlude the Esophageal Entrance in Anesthetized and Muscle-Relaxed Children: A Videolaryngoscopy-Based Assessment. Anaesth Crit Care Pain Med. Published 7 November 2025. doi:10.1016/j.accpm.2025.101674

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