The effect of mechanically-induced cricoid force on lower oesophageal sphincter pressure in anaesthetised patients.

作者: A. Garrard , A. E. Campbell , A. Turley , J. E. Hall

DOI: 10.1111/J.1365-2044.2004.03682.X

关键词: RefluxCricoid pressureAnesthesiaStandard protocolEsophagusAirway managementLower oesophageal sphincter pressureRegurgitation (circulation)MedicineCatheter

摘要: In the United Kingdom, cricoid force is central to upper airway management in obstetric and emergency anaesthesia. A reduction oesophageal barrier pressure (OBP) these patients may increase regurgitation risk. This study investigated whether application of anaesthetised reduced lower sphincter (LOSP) consequently OBP. Anaesthesia was induced 29 using a standard protocol. An balloon catheter inserted gastric trace identified. The withdrawn incrementally readings recorded at each position before during 30 N force, with sudden rise indicating position. Oesophageal calculated as difference between LOSP pressure. Application significantly OBP without influencing (p < 0.001). use risk gastroesophageal reflux patients.

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