ABSTRACT

The application of cricoid pressure may help reduce the incidence of pulmonary aspiration in at-risk patients. Research has shown that most clinicians have a cognitive deficit concerning the correct amount of pressure to apply, anatomical landmarks and apply the incorrect amount of pressure. Too much pressure may lead to an airway obstruction or distorted view for laryngoscopy. Too little pressure may lead to pulmonary aspiration. It is imperative that clinicians who apply cricoid pressure have a thorough knowledge of basic anatomy, have a basic understanding of regurgitation/aspiration, indications, complications, contraindications and common problems/mistakes when applying cricoid pressure. Various teaching strategies to help the clinician apply correct and effective cricoid pressure have been described in the literature. All clinicians should be formally trained in the proper technique for the application of cricoid pressure.

ABSTRACT

The University of Hertfordshire is currently setting up the largest medical simulation centre in UK and it is being presented in this article with some background information. This new centre includes a range of simulated clinical and community environments and makes use of modern patient simulators that will enhance the students' learning experience.

ABSTRACT

Nurse anesthetists are crucial healthcare providers throughout the world. The duties, regulations, and educational requirements for nurse anesthetists vary from country to country. The purpose of this article is to provide the reader with a brief historical perspective on the development of nurse anesthesia in the United States; describe current nurse anesthesia practice; and allow the reader to compare and contrast it with the practice of nurse anesthesia in their own country.

ABSTRACT

Working in the community dental service for 16(LAH) and 19(APJL) years, in common we are sure with many readers, we have observed marked differences in perioperative behaviour which could not be adequately explained when all the other usually influencing factors appeared constant and sought an alternative explanation by evaluating any lunar influence.