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 This is a specialized method of induction used when the risk of pulmonary aspiration is particularly high.

 The goal is to achieve optimal intubating conditions in the fastest time possible.

 After preoxygenation, cricoid pressure is held by an assistant while induction agents (see Chapter 2 for agents and dosages) are given followed by 1.5 mg/kg of succinylcholine or 1 mg/kg of rocuronium, and laryngoscopy is attempted without mask ventilation. Cricoid pressure is maintained until confirmation of tracheal intubation is observed.