Management of Medical Emergencies in the Dental Setting; Laryngospasm
Abstract
Laryngospasm is a common complication in the dental setting. Although it can be self-limited in some cases, if it persists and goes untreated it may be life-threatening and cause serious complications. While it is more common in the oral surgery setting it may also occur while under the care of a general dentist. This article discusses laryngospasm with an emphasis on recognition and management with the aim to increase awareness and improve treatment outcomes.
References
Rosenberg, M. B., & Lind, L. J. (2002). 17 Deep sedation and general anesthesia. In R. A. Dionne, J. C. Phero, & D. E. Becker (Eds.), Management of pain and anxiety in the Dental Office (pp. 261–280). Saunders. ISBN 978-0-7216-7278-6
Beckley, M. L., & Bagheri, S. C. (2014). Chapter 3; Anesthesia. In Clinical Review of Oral and maxillofacial surgery: A case-based approach (second edition) (pp. 65–94). Mosby. ISBN 9780323171267
Rex M. A. (1970). A review of the structural and functional basis of laryngospasm and a discussion of the nerve pathways involved in the reflex and its clinical significance in man and animals. British journal of anaesthesia, 42(10), 891–899. https://doi.org/10.1093/bja/42.10.891
Cooper, R. M., & Khan, S. (2013). Chapter 50- Extubation and Reintubation of the difficult airway. In C. A. Hagberg (Ed.), Benumof and hagberg's airway management (Third edition) (pp. 1018–1046). doi: https://doi.org/10.1016/B978-1-4377-2764-7.00050-6
Lonescu, A. M., & Ved, S. (2014). Laryngospasm. In: Freeman, B. S., Berger, J. eds. Anesthesiology core review: Part One Basic Exam. McGraw-Hill Education Medical. https://accessanesthesiology.mhmedical.com/content.aspx?bookid=974§ionid=61589165&jumpsectionID=61589178
Gavel, G., & Walker, R. W. M. (April 2014). Laryngospasm in Anaesthesia. Continuing Education in Anaesthesia Critical Care & Pain, 14(2), 47–51. https://doi.org/10.1093/bjaceaccp/mkt031
Hampson-Evans, D., Morgan P., Farrar M. (2008). Pediatric laryngospasm. Pediatric Anesthesia, 18(4), 303–307. https://doi.org/10.1111/j.1460-9592.2008.02446.x
Al-Metwalli, R.R., Mowafi, H.A. & Ismail, S.A. Gentle chest compression relieves extubation laryngospasm in children. J Anesth 24, 854–857 (2010). https://doi.org/10.1007/s00540-010-1036-9
Hernández-Cortez, E. (2018). Update on the Management of Laryngospasm. Mexican Federation of Colleges of Anesthesiology AC, 20(2). doi: https://doi.org/10.15406/JACCOA.2018.08.00327
Walker RW, Sutton RS. Which port in a storm? Use of suxamethonium without intravenous access for severe laryngospasm. Anaesthesia. 2007; 62(8):757-759. doi: https://doi.org/10.1111/j.1365-2044.2007.05226.x
