Date of Award


Document Type


Degree Name

Doctor of Nursing Practice (DNP)




Dr. Brian Garrett

First Committee Member

Dr. Kacy Ballard

Second Committee Member

Dr. Charles Stockton


Cricoid Pressure, Sellick Manoeuvre, Anesthesia, Evidence Based Practice

Subject Categories

Medicine and Health Sciences | Perioperative, Operating Room and Surgical Nursing


Cricoid pressure (CP) has been a standard of practice since the 1960s. The purpose is to reduce aspiration of gastric content into the lungs in high-risk patients undergoing induction of general anesthesia. Aspiration has been identified as the most common cause of airway-related mortality for patients undergoing general anesthesia. The cause of airway-related mortality can be correlated to the application of CP. Incorrect application of CP may lead to adverse clinical events and outcomes. It has been demonstrated that when administering CP in a simulation-based environment, providers are applying pressure to the incorrect anatomical location and/or applying the incorrect amount of force. The project's primary purpose is the development of an evidence-based practice (EBP) guideline which can be utilized to possibly reduce anesthesia related aspiration mortality for patients undergoing general anesthesia. This will be achieved by improving the quality of the application of CP through adopting an EBP approach to educate providers on the correct application. The project also includes a plan for implementing these EBP guidelines through education and training, monitoring the outcomes, and providing changes to the guidelines if the outcomes are less than desirable. The Plan-Do-Study-Act model was used as a framework to guide this scholarly project.

Licensing Permission

Copyright, all rights reserved. Fair Use



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