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Laryngospasm in Children: Features, Treatment, and Airway Considerations

This article explores the features and treatment of laryngospasm in children, emphasizing the importance of prompt intervention and understanding the unique anatomical considerations of the pediatric airway.

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Laryngospasm in Children: Features, Treatment, and Airway Considerations

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  1. Question 12 Laryngospasm in child

  2. 4 features of laryngospasm Stridor Bardycardia, not tachy! These kids are about to die. They slow down and die. Hypoxia Increased resp effort Tarcheal tug Paradoxical respirations (Dead)

  3. 6 steps in treatment Help! Call for help! Only 2 people wrote this! Oxygen (there is evidence that this helps the hypoxic child, so write it down!) BVM oxygen/positive pressure Remove trigger Clear airway (at least check it!) Jaw thrust Sedate/relax (propofol and sux) ETT/surgical airway

  4. Paeds v Adult airway Telling me that it’s “smaller” is like telling me that the Queen lives in London. We all know this. Please tell me the relative size difference. Teeth fall out more (deciduous teeth, can cause obstruction) Relatively larger tongue Relatively larger occiput, so neck flex can obstruct Obligate nose breathers Trachea softer and can collapse Higher and more anterior larnyx; it’s not where you think it should be!

  5. This exam is probably harder to write, easier to mark. List learning is difficult. The examiner looks for the ‘list’, whereas before, we looked for the understanding and kind of agreed with your prose or not. So the list style really needs to be practised and practised.

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