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Revista Cubana de Anestesiología y Reanimación

2020, Number 3

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Revista Cubana de Anestesiología y Reanimación 2020; 19 (3)

Reflex laryngospasm in pediatric urologic surgery

Pineda GAR, Aparicio MAI

Language: Spanish
References: 15
Page: 1-6
PDF size: 202.81 Kb.


ABSTRACT

Introduction: Laryngospasm is a complication feared by anesthesiologists. It is associated with bronchospasm, hypoxia, arrhythmias, aspiration of gastric contents, and cardiac arrest. It is more common among neonates and infants. It is closely related to the type of surgery and consists in an intense and prolonged closure of the glottis in response to direct or reflex glottic stimulation.
Objective: To describe the management of reflex partial laryngospasm in a pediatric patient during a urological intervention.
Case presentation: 18-month-old patient who received meatotomy. During surgery, he presented reflex partial laryngospasm managed with physical maneuvers, without the need to use medication or the mechanic airways ventilation.
Conclusions: The maneuvers used are safe and effective for the management of reflex laryngospasm without the need to address the airway or using of medications. Satisfactory outcomes were achieved with a risk-benefit ratio in favor of the patient.


REFERENCES

  1. Olsson GL, Hallen B. Laryngospasm during anesthesia: A computer-aided incidence study in 136,929 patients. Acta Anaesthesiol Scand. 1984;28:567-75.

  2. de la Parte Pérez Lincoln. Laringoespasmo durante la anestesia. Rev Cubana Pediatr. 2003[acceso: 05/01/2020];75(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312003000200008&lng=es

  3. Moyao García D, Rodríguez Herrera CI. Complicaciones en anestesia pediátrica. Revista Mexicana de Anestesiología. 2017;40(S1):143-4.

  4. Gavel G, Walker RWM. Laryngospasm in anaesthesia. Critical Care & Pain. 2013;26:1-5.

  5. El-Metainy S, Ghoneim T, Aridae E, Wahab MA. Incidencia of perioperative adverse events in obese children undergoping elective general surgery. British Jhournal of Anaesthesia. 2011;106:359-63.

  6. Hernández Cortez E. Laringoespasmo vieja complicación: nuevos tratamientos. Rev Anestesia en México. 2017;29(3):16-25.

  7. Najar Rodríguez D, González Cordero G, Garduño Chávez B, Palacios Ríos D. Incidencia de laringoespasmo después de extubación, con técnica "No Touch" en población pediátrica. Anestesia en México. 2019;31(2):26-33.

  8. Von Ungern BS, Boda K, Chambers NA, Rebmann C, Johnson C. Risk assessment for respiratory complications in pediatric anaesthesia: A prospective cohort study. Lancet. 2010;376:773-83.

  9. Hernández Cortez E. Complicaciones de la anestesia general en el paciente pediátrico. En: Hernández Cortez E, Editor. Complicaciones de la anestesia pediátrica. México: Editorial Prado; 2014. p. 63-81.

  10. Sonora BAS, Bojórquez BA, Garay FDJP, Villars EG, Zamora JREDL, Rosa VJRM. Incidencia de complicaciones anestésicas en el paciente pediátrico en procedimientos fuera de quirófano. Rev Med UAS. 2020;10(1):26-37.

  11. Tsai CH, Huang BF, Hwang YL. Household environmental tobacco smoke and risks of asthma, wheeze and bronchitic symptoms among children in Taiwan. Respir Res. 2010;11:11-19.

  12. Al-alami AA, Zestos MM, Baraka AS. Pediatric laryngospasm: Prevention and treatment. Current Opinion in Anesthesiology. 2009;22:388-96.

  13. Hernández Cortez E. Actualidades en el manejo del laringoespasmo en pediatría. Anestesia en México. 2018;30(2):12-9.

  14. Johnstone RE. Laryngospasm treatment an explanation. Anesthesiology. 1999;91:581-81.

  15. Rosado Blanco GA, Rocha Gámez MA, López-Pavón LE. Maniobra Rosado Blanco: Laringoespasmo. Anestesia en México. 2018;30(1):60-4.




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