Anaes SAQs · Aspiration & regurgitation
The rapid sequence induction and the cricoid pressure
Primary — the classic RSI steps; the modified RSI (the gentle mask ventilation, the apnoeic oxygenation, the rocuronium-sugammadex); the cricoid pressure (the Sellick) and the Birenbaum RCT (the no significant aspiration reduction); the modern modified-cricoid practice.
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Prompt
Describe the rapid sequence induction (the classic and the modified), and discuss the role of the cricoid pressure in the light of the contemporary evidence.
Question
Describe the rapid sequence induction (the classic and the modified), and discuss the role of the cricoid pressure in the light of the contemporary evidence.[1]
[4]References3ShowHide
- [1]Sorbello M, et al. Pharmacological approach to rapid sequence induction: a contemporary review. Curr Opin Anaesthesiol, 2025.PMID 40493782
- [4]Birenbaum A, et al. Effect of Cricoid Pressure Compared With a Sham Procedure in the Rapid Sequence Induction of Anesthesia: The IRIS Randomized Clinical Trial. JAMA Surg, 2019.PMID 30347104
- [2]Lam ND, et al. High-flow nasal oxygen versus face-mask ventilation for rapid sequence induction in non-elective surgical patients: a randomized controlled trial. BMC Anesthesiol, 2026.PMID 41620676