Update on the management of laryngospasm

Abstract

Perioperative laryngospasm is an airway emergency. It is responsible for a significant number of complications ranging from hypoxia, bradycardia, bronchoaspiration, obstructive pulmonary edema and/or cardiac arrest. It is a protective glance reflex of the glottis. It is a relatively frequent entity in the pediatric patient, which depends on multiple factors. The goal of treatment is to prevent its presentation, if it is already installed then make the diagnosis fast and timely to apply effective corrective treatment, and not allow the patient to deteriorate quickly. The treatment consists of applying effective drugs to break the spasm like propofol, magnesium sulfate, muscle relaxants and reintubation. External maneuvers include chest pressure at the top and Larson's maneuver.