Not Always Top 5 - Laryngospasm
- 100% O2
- Laryngospasm notch pressure
- CPAP or positive pressure ventilation
- Lignocaine on the cords
- Induction dose of propofol
- Suxamethonium IV (1 to 2mg/kg) or IM (4mg/kg)
PS - Laryngeal notch pressure: Firm pressure to the notch behind the earlobe, bounded by the mastoid process, base of skull and condyle of mandible. Pressure on both sides in a cephalad and medial direction can terminate laryngospasm. The jaw should move anteriorly. Mechanism unknown.
Larson C. Anesthesiology. 1998 Nov,(5):1293-4
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