Extubation guidelines: management of laryngospasm

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Difficult Airway Society Guidelines for the management of tracheal extubation.

Tracheal extubation is a high-risk phase of anaesthesia. The majority of problems that occur during extubation and emergence are of a minor nature, but a small and significant number may result in injury or death. The need for a strategy incorporating extubation is mentioned in several international airway management guidelines, but the subject is not discussed in detail, and the emphasis has b...

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Crisis management during anaesthesia: laryngospasm.

BACKGROUND Laryngospasm is usually easily detected and managed, but may present atypically and/or be precipitated by factors which are not immediately recognised. If poorly managed, it has the potential to cause morbidity and mortality such as severe hypoxaemia, pulmonary aspiration, and post-obstructive pulmonary oedema. OBJECTIVES To examine the role of a previously described core algorithm...

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[Low dose propofol vs. lidocaine for relief of resistant post-extubation laryngospasm in the obstetric patient].

BACKGROUND Post-extubation laryngospasm is a dangerous complication that should be managed promptly. Standard measures were described for its management. We aimed to compare the efficacy of propofol (0.5mg.kg-1) vs. lidocaine (1.5mg.kg-1) for treatment of resistant post-extubation laryngospasm in the obstetric patients, after failure of the standard measures. METHOD This study was conducted o...

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Respiratory management after self-extubation.

BACKGROUND AND PURPOSE Self-extubation is a potentially life-threatening event, but may also provide an opportunity to wean patients who should have been extubated earlier. The purpose of this study was to determine the risk factors for re-intubation after self-extubation. METHODS The medical charts of 69 self-extubated patients treated in Shin Kong Hospital, Taipei, from September 1996 throu...

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The management and treatment of recurrent postoperative laryngospasm.

L aryngospasm is a common complication of airway management in anesthetic practice (1). It consists of a prolonged glottic closure reflex mediated by the superior laryngeal nerve. It often occurs with insufficient depth of anesthesia on endotracheal intubation, light anesthesia on tracheal extubation, or a combination of either of the preceding with an airway irritant such as blood, mucus, lary...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2012

ISSN: 0003-2409

DOI: 10.1111/j.1365-2044.2012.07258.x