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Cricoid pressure


I was just curious. Is it possible for an anesthetized patient to have vomit forcefull enough that cricoid pressures doesn't work to prevent the vomiting?

Mr. & Mrs. RN

Specializes in OR. Has 9 years experience.

No, not if you're doing it correctly. But you can cause an esophagus to rupture.

Rose_Queen, BSN, MSN, RN

Specializes in OR, education. Has 16 years experience.

Cricoid pressure is a way to protect the airway and is not intended to prevent vomiting- it is intended to prevent anything that is vomited from reaching the lungs. We use other methods of trying to prevent vomiting- NPO for 6-8 hours unless condition requires emergent or urgent intervention, using medications to promote gastric emptying. In those emergent/urgent cases, we use rapid sequence intubation and cricoid pressure to reduce the risk of aspiration; that risk is never completely zero.