Anaes SAQs · Extubation & recovery
The laryngospasm — prevention and management
Final SAQ — the quantified risks (URTI OR 2.03, airway anomaly OR 3.35, LMA), the prevention (experienced operator, deep LMA removal, lidocaine), and the management ladder (airway steps, suxamethonium IV or 4 mg/kg IM, atropine 20 microg/kg, watch for post-obstructive pulmonary oedema).
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Prompt
Describe the risk factors, the prevention, and the management of the laryngospasm at the extubation.
Question
Describe the risk factors, the prevention, and the management of the laryngospasm at the extubation.
References7ShowHide
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- [2]Al-alami AA, Zestos MM, Baraka AS Pediatric laryngospasm: prevention and treatment. Current opinion in anaesthesiology, 2009.PMID 19434787
- [3]Albannai N, AlBlooki A, Alqadhi N, et al. Effect of Subhypnotic Dose of Propofol on Respiratory Adverse Events Following Postoperative Tonsillectomy/Adenotosillecomy: A Systematic Review and Meta-Analysis. Journal of clinical medicine, 2026.PMID 41827489
- [4]Mihara T, Uchimoto K, Morita S, Goto T The efficacy of lidocaine to prevent laryngospasm in children: a systematic review and meta-analysis. Anaesthesia, 2014.PMID 24992191
- [5]Hannallah RS, Oh TH, McGill WA, Epstein BS Changes in heart rate and rhythm after intramuscular succinylcholine with or without atropine in anesthetized children. Anesthesia and analgesia, 1986.PMID 3777464
- [6]Wick RR, Ball DR Severe laryngospasm without intravenous access--a case report and literature review of the non-intravenous routes of administration of suxamethonium. Singapore medical journal, 1998.PMID 9885697
- [7]Bhattacharya M, Kallet RH, Ware LB, Matthay MA Negative-Pressure Pulmonary Edema. Chest, 2016.PMID 27063348