Using "Laryngospasm Notch".



     Laryngospasm is a potentially life-threatening condition that can be managed through expeditious use of sedation, neuromuscular blockers, and airway maneuvers. Patients at high risk for this complication can be identified and measures taken to prepare for this complication.


    Some anesthesiologists recommend the application of firm pressure to the “laryngospasm notch” (Figure) bilaterally while performing the jaw thrust. Superior laryngeal nerve block can be considered if all other measures fail.

     In addition to performance of a jaw thrust maneuver, the level of anesthesia (or sedation) should be deepened with an inhaled anesthetic or intravenous propofol (0.25-1.0 mg/kg). If laryngospasm persists, administration of a relatively small dose of succinylcholine is indicated (0.1-0.25 mg/kg intravenously or 4 mg/kg intramuscularly if intravenous access is not available). Atropine (0.02 mg/kg) should be administered concomitantly because succinylcholine may be associated with severe bradycardia, especially in the presence of hypoxemia. Tracheal intubation may or may not be required. Lidocaine 4% can also be administered topically to the larynx to help abort the spasm.

 Read also:


Popular posts from this blog

Ketamine: The Past, Present, and Potential Future of an Anesthetic Drug

Ketamine is a powerful anesthetic drug that has been used in medical settings for decades. However, its effects on the brain have also led to its use as a recreational drug, leading to controversy surrounding its use. Despite its negative associations, recent research has shown promising potential for the drug in the treatment of mental health conditions such as depression and post-traumatic stress disorder (PTSD).
Read more

Fast track anesthesia approaches

  Fast track anesthesia schemes are multi-modal approaches that aim to reduce the physiological stress response to surgery, enhance recovery, and improve patient outcomes. These schemes typically involve several aspects of perioperative care, including anesthesia management, surgical technique, pain management, fluid management, and early mobilization. Here are some common fast track anesthesia schemes:
Read more