Laryngospasm
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Background
- Associated with ketamine (0.3%)
- Usually associated with large doses or rapid IV push
Clinical Features
Differential Diagnosis
Evaluation
Workup
Diagnosis
Management
Apply pressure inwardly and anteriorly to the point labeled "Pressure Point" (Larson's Point) while applying a jaw thrust to relieve laryngospasm [1]
- Jaw thrust
- Place pressure on Larson's notch
- If jaw thrust and pressure are not sufficient, bag valve mask with PEEP
- If above do not resolve laryngospasm, sedate more deeply (propofol is the traditional choice, 0.5mg/kg)
- If deeper sedation does not resolve laryngospasm, paralyze and intubate
Disposition
See Also
External Links
References
- ↑ Larson CP Jr. Laryngospasm--the best treatment. Anesthesiology. 1998 Nov;89(5):1293-4. doi: 10.1097/00000542-199811000-00056. PMID: 9822036.