Cricoid pressure in new DAS (Difficult Airway Society) Guidelines: still on?

9 Apr

DAS Difficult Airway Society

Background story:

This is the post I wrote about the DAS April 2015 draft on intubation Guidelines:

DAS (Difficult Airway Society) released a draft of its intubating Guidelines for evaluation and comment before definitive update.

Previuos 2007 Guidelines are available here DAS Intubation Guidelines

This is the link to download the Update (April 2015) on DAS intubation guidelines 2015

What’s new on this draft:

Plan A (face mask ventilation and intubation)

  • Preoxygeneation is now included (to mantain even during the intubation, O2 nasal cannula).
  • VL is considered as standard approach (same leve than DL).
  • Cricoid pressure is no longer mentioned and replaced with BURP.
  • BURP has to be released if difficult intubation(laryngoscopy is predicted.

The authors invite all to send suggestions and comments to intubation@das.uk.com.

Last night (Italy time at least) on Twitter a debate about the presence on less of cricoid pressure aroused:

23:06 @MyEmergencyMed: Difficult Airway Society 2015
 intubating Guidelines http://t.co/3I82OaQEhV vía
 @MEDEST118
 23:12 @MDaware: cc @ketaminh MT @MyEmergencyMed: DAS
 2015 intubating Guidelines http://t.co/qmIQLonSTQ vía
 @MEDEST118

https://twitter.com/MDaware/status/585897954936025089

23:13 @ketaminh: @MDaware @MyEmergencyMed
 @MEDEST118 have u checked original source
 material…editor?
 23:13 @MDaware: @ketaminh @MyEmergencyMed
 @MEDEST118 nope in a meeting
23:18 @ketaminh: @MDaware @MyEmergencyMed
 @MEDEST118 ok let me help you then
 http://t.co/T2MiXq28dA
 23:22 @MDaware: @ketaminh @myemergencymed @medest118
 interestingly the guidelines say "Remove cricoid
 pressure" — not use it! http://t.co/3mAGwKRKoj
 23:23 @ketaminh: @MDaware @MyEmergencyMed
 @MEDEST118 stick to social media, editor! cricoid
 pressure still advocated by DAS as far as I can tell .
 remove prn
 23:29 @ketaminh: @MDaware @MyEmergencyMed
 @MEDEST118 well…you have to use it if you are to
 remove it

So let’s see what the released material from DAS says about cricoid pressure?

On the algorithm:

DAS2015_04b_draft_Page_3

And then on the Highlights:

DAS2015_04b_draft.001

Pretty controversial.

So let’s ask directly to DAS wich is their position on cricoid pressure.

Screen Shot 2015-04-09 at 09.41.06And let’s wait for their answer.

Stay in touch!

Logo MEDEST2

Una Risposta to “Cricoid pressure in new DAS (Difficult Airway Society) Guidelines: still on?”

  1. ketaminh 9 aprile 2015 a 12:50 PM #

    L’ha ribloggato su PHARM.

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