Laryngospasm

"Laryngospasms" redirects here. For the parody group, see The Laryngospasms.

Laryngospasm
Classification and external resources
ICD-10	J38.5
ICD-9	478.75
MeSH	D007826

In medicine, laryngospasm is an uncontrolled/involuntary muscular contraction (spasm) of the laryngeal cords. The condition typically lasts less than 60 seconds, and causes a partial blocking of breathing in, while breathing out remains easier. It may be triggered when the vocal cords or the area of the trachea below the cords detects the entry of water, mucus, blood, or other substance. It is characterized by stridor and or retractions. Some people suffer from frequent laryngospasms, whether awake or asleep. In an ear, nose and throat practice, it is typically seen in people who have silent reflux disease. It is also a well known, infrequent, but serious post-surgery complication.

Etiology

In some individuals this can occur spontaneously or as a result of reflux or impaired swallowing. It is also a complication associated with anesthesia. The spasm can happen often without any provocation, but tends to occur after tracheal extubation. In children, the condition can be particularly deadly, leading to cardiac arrest within 30–45 seconds, and is a possible cause of death associated with the induction of general anesthesia in the paediatric population.

Treatment

Minor laryngospasm will generally resolve spontaneously. Laryngospasm in the operating room is treated by hyperextending the patient's neck and administering assisted ventilation with 100% oxygen. In more severe cases it may require the administration of an intravenous muscle relaxant, such as Succinylcholine, and reintubation. In ear, nose and throat practices, it is treated by examining the patient in the office and reassuring the patient that laryngospasm resolves. Sometimes reflux medication is used to reduce the acidity in the stomach.

Additionally, laryngospasms can result from hypocalcemia, causing muscle spasms and/or tetany. Na+ channels remain open even if there is very little increase in the membrane potential. This affects the small muscles of the vocal cords.

External links

• -1999634387 at GPnotebook
• emerg/802 at eMedicine "Ketamine: Emergency Applications" – discusses laryngospasm.
• Information for patients with laryngospasm – voicedoctor.net
• Links, Information and Resources about Laryngospasm Laryngospasm Information Network