[Skip to Content]
[Skip to Content Landing]
Views 74
Citations 0
Comment & Response
February 27, 2019

Utility of Cricoid Pressure

Author Affiliations
  • 1Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago
JAMA Surg. 2019;154(6):563-564. doi:10.1001/jamasurg.2018.5850

To the Editor We congratulate Birenbaum et al1 for performing this multicenter, prospective, double-blind randomized clinical trial with 3472 patients that were consented and enrolled in an emergency setting, which showed that the efficiency of a sham maneuver is not inferior to that of the Sellick maneuver. However, as the authors mentioned, they overestimated the incidence of aspiration, since they used a study that looked at the incidence in an emergency setting2; thus, their sample size was underpowered to detect the true difference. This is the issue with all other rare event-type complications and illustrates the difficulty in performing an adequate randomized clinical trial with such an enormous number of participants. This is a major limitation of the present study, which the authors regrettably failed to list in their Limitations section.1

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×