Effect of cricoid pressure on gastro-oesophageal reflux in awake subjects

Anaesthesia. 1999 Aug;54(8):798-800. doi: 10.1046/j.1365-2044.1999.00906.x.

Abstract

This study aimed to evaluate whether cricoid pressure is associated with a high risk of gastro-oesophageal reflux. Fifteen awake, fasted volunteers were studied. A cricoid pressure of 44 N was applied for 60 s by resting a padded yoke over the cricoid cartilage. Using continuous oesophageal pH monitoring, no volunteer had gastro-oesophageal reflux during cricoid pressure, although one subject had a reflux spike soon after relieving cricoid pressure. We conclude with 95% confidence that the incidence of gastro-oesophageal reflux during cricoid pressure is not more than 20%.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cricoid Cartilage*
  • Esophagus / metabolism
  • Fasting
  • Female
  • Gastroesophageal Reflux / etiology*
  • Humans
  • Hydrogen-Ion Concentration
  • Male
  • Pressure / adverse effects