Abstract

HERNANDEZ-CORTEZ, Enrique. Update on the Management of Laryngospasm. Anest. Méx. [online]. 2018, vol.30, n.2, pp.12-19. ISSN 2448-8771.

Perioperative laryngospasm is an airway emergency. It is responsible for a significant number of complications ranging from hypoxia, bradycardia, bronchial aspiration, obstructive pulmonary edema and / or cardiac arrest. It is a protective closure reflex of the glottis. Laryngospasm is a relatively frequent entity in the pediatric patient, which depends on multiple factors. The aim of the treatment is to prevent its happening. When it has already happened, it is essential to make the correct diagnosis and to start its treatment immediately to prevent patient deterioration. The treatment consists of applying effective drugs to break the spasm like propofol, magnesium sulfate, muscle relaxants and reintubation. External manoeuvres include upper chest pressure and Larson's manoeuvre.

Keywords : Laryngospasm; upper airway; risk factors; prevention and treatment.