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Case Reports
Nebulized Lidocaine in the Treatment of Refractory Postoperative Laryngospasm: A Case Report.
- Zhihao Oon, Chiew-Bing Ha, and Marcin Sicinski.
- From the Guy's & St Thomas' National Health Service Foundation Trust, London, United Kingdom.
- A A Pract. 2019 Jul 1; 13 (1): 20-22.
AbstractIntraoperative laryngospasm occurs in <1% of cases. Recurrent laryngospasm is rarer. Some risk factors include shared airway and pediatric surgery, secretions, pungent volatile anesthetics, and patient factors, such as smoking and asthma. Conventional management includes the application of positive airway pressure, jaw thrust, the removal of any offending stimuli, deepening anesthesia, or administering muscle relaxants. Nebulized lidocaine is used to anesthetize the vocal cords before awake fiberoptic intubation. This case highlights the novel use of nebulized lidocaine to successfully treat refractory postoperative laryngospasm in a fully conscious adult patient after conventional measures were unsuccessful.
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