title: The 50-millilitre syringe as an inexpensive training aid in the application of cricoid pressure.
abstract: A recent study in our department demonstrated that depressing the plunger of a 50-mL syringe was reliably and linearly related to the force applied between 20 N and 50 N. Using a 50-mL syringe we constructed a simple device to help train anaesthetic assistants to apply cricoid pressure correctly. We then tested anaesthetists, operating department practitioners (non-physicians) and nurses in our hospital to see if they could correctly apply forces of 20 and 40 N. All subjects were then trained using this apparatus and once confident were retested immediately afterwards, and again 1 week and 1 month later. The results show a wide variation in the force applied with only 30% of subjects applying appropriate force at 20 N, and 40% at 40 N. Training leads to a significant improvement in performance (P < 0.005 at 20 N and P < 0.001 at 40 N) which is maintained for 1 week for both 20 N (P < 0.05) and 40 N (P < 0.05) but not for 1 month. Therefore training should be practised on a weekly basis. This is an inexpensive and simple device that we believe to be useful in helping anaesthetic assistants to apply effective cricoid pressure.
authors.affiliation: Ministry of Defence Hospital Unit and Department of Anaesthesia, Peterborough District General Hospital, Thorpe Road, Peterborough, PE3 6DA, UK.
authors.forename: C J
authors.initials: CJ
authors.lastname: Flucker
authors.forename: E
authors.initials: E
authors.lastname: Hart
authors.forename: M
authors.initials: M
authors.lastname: Weisz
authors.forename: R
authors.initials: R
authors.lastname: Griffiths
authors.forename: M
authors.initials: M
authors.lastname: Ruth
mesh_terms: D000776:Anesthesiology / Q000193:education*; D003413:Cricoid Cartilage; D003422:Critical Care; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D009048:Motor Skills / Q000502:physiology; D009741:Nursing Staff, Hospital / Q000193:education; D009873:Operating Rooms; D010564:Personnel, Hospital / Q000193:education; D010823:Physician Assistants / Q000193:education; D011312:Pressure; D015203:Reproducibility of Results; D013314:Stress, Mechanical; D013594:Syringes; D013663:Teaching / Q000379:methods*; D013664:Teaching Materials; D000078329:Workforce