Comparative Study Ofthe Cricoid Pressure In Patients Undergoing Elective And Emergency Surgeries Using Manual Cricoid Pressure And Cricoid Pressure Manometer
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Cricoid pressure is used for prevention of aspiration in inadequately starving patients as well as patients having gastrointestinal obstruction or delayed gastric emptying and are posted for elective or emergency surgery under general anaesthesia. This pressure may vary in the quality as well as force applied by different individuals. The aim of this study was to compare the cricoid pressure application using manual cricoid pressure and R.D.’s cricoid pressure manometer.The study was done in 100 adult patients undergoing elective and emergency surgery under general anaesthesia. They were divided into two groups of fifty patients. The two groups consisted of patients undergoing elective surgery and patients undergoing emergency surgery. These two groups were subdivided into further two groups of twenty five each. In both the main groups one subgroup received cricoid pressure manually and other subgroup received cricoid pressure with R.D.’s cricoid pressure manometer. Our results show that the R.D.’s cricoid pressure manometer had the benefit of uniform application of pressure and less interindividual variability. Manual cricoid pressure required training and cricoid force could not be predicted. Also the distortion of airway and oesophagus was more with manual cricoid pressure. Henceusing cricoid pressure manometer is better technique than manual cricoid pressure
Authors and Affiliations
Dr. Manali Nadkarni, Dr. R. D. Patel, Dr. Deepali Nagvenkar
Keywords
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- EP ID EP370617
- DOI 10.9790/0853-1704067680.
- Views 39
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