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British Journal of Anaesthesia, 1992, Vol. 69, No. 5 465-467
© 1992 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

CRICOID PRESSURE MAY PREVENT INSERTION OF THE LARYNGEAL MASK AIRWAY

J. M. ANSERMINO, M.B., B.CH., F.F.A. (S.A.)., D.A.1 and C. E. BLOGG, M.B., B.S., F.R.C.ANAES.2,*

1Nuffield Department of Anaesthetics, Churchill Hospital Oxford OX3 7LJ
2Nuffield Department of Anaesthetics Radcliffe Infirmary, Oxford OX2 6HE

*Correspondence to C.E.B.

We have studied 42 female patients undergoing elective day-case surgery allocated randomly to two groups. After induction of anaesthesia an attempt was made to insert a laryngeal mask airway after application of cricoid pressure in one group or with no cricoid pressure in the other. The anaesthetist was unaware of the application, or not, of cricoid pressure. Successful insertion was achieved at the first or second attempt in 19 of the 22 patients in the non-cricoidpressure group, but in only three of the 20 patients in the cricoid pressure group (X2 18.62, P <0.001). The laryngeal mask airway was then inserted successfully in all 17 patients after removal of cricoid pressure. The implications of having to remove cricoid pressure if a laryngeal mask airway is to be inserted are discussed. (Br. J. Anaesth. 1992; 69: 465–467)


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