Abstract
Laryngospasm has been well described in patients emerging from general anesthesia (GA) and is routinely managed with intermittent positive-pressure mask ventilation, a temporary increase in the depth of anesthesia, or small, titrated amounts of succinylcholine. Patients with severe laryngospasm require reintubation to maintain adequate oxygenation and ventilation. However, reintubation may be only a temporary solution because laryngospasm may recur during re-emergence and re-extubation; thus, anesthesiologists need a comprehensive plan that addresses potential causes of laryngospasm and incorporates continuous positive airway pressure (CPAP) for patients with difficulty emerging from GA. Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) is a noninvasive ventilation and oxygenation technique used to provide apneic oxygenation, which also generates CPAP. THRIVE uses a high-flow nasal cannula and is more easily tolerated than CPAP with a tight-fitting mask. To our knowledge, we present the first case of refractory laryngospasm during emergence from GA that was successfully managed with THRIVE.
Original language | English (US) |
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Pages (from-to) | 633-635 |
Number of pages | 3 |
Journal | Journal of Voice |
Volume | 35 |
Issue number | 4 |
DOIs | |
State | Published - Jul 2021 |
Keywords
- Airway
- General anesthesia
- High-flow nasal cannula
- Laryngospasm
- Oxygenation
- Transnasal humidified rapid-insufflation ventilatory exchange
ASJC Scopus subject areas
- Otorhinolaryngology
- LPN and LVN
- Speech and Hearing