Advanced Cardiovascular Life Support (ACLS) Practice Exam

What is the recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest?

1. Highly recommended for all patients

2. Not recommended for routine use

3. Recommended only in children

4. Used only after intubation

The correct answer is: Not recommended for routine use

The recommendation against the routine use of cricoid pressure during cardiac arrest is based on several studies and expert consensus that suggest it may not effectively prevent aspiration and could potentially hinder airway management. Cricoid pressure involves applying pressure to the cricoid cartilage to compress the esophagus; however, this practice can complicate the intubation process by making it more difficult for healthcare providers to visualize the vocal cords. The potential for adverse outcomes, including causing airway obstruction or injury, has led to the conclusion that cricoid pressure should not be a standard practice during resuscitation efforts. In certain situations, such as in cases where aspiration risk is deemed significantly high and cricoid pressure is applied judiciously, it may still be employed. However, the current guidelines emphasize focusing on effective airway management techniques, rather than relying on cricoid pressure, which is why it is not recommended for routine use in patients undergoing resuscitation efforts. This approach aligns with the overarching goal of providing the best possible care while minimizing the risk of additional complications during a critical emergency.