Do Children Who Experience Laryngospasm Have an Increased Risk of Upper Respiratory Tract Infection?

Abstract

Laryngospasm was more likely to occur in children with an active upper respiratory infection, children who were younger, children who were undergoing airway surgery, and children whose anesthesia were supervised by less experienced anesthesiologists. Understanding the risk factors and the magnitude of the likely risk should help clinicians make the decision as to whether to anesthetize children with upper respiratory infection.

The effects of levobupivacaine versus levobupivacaine plus magnesium infiltration on postoperative analgesia and laryngospasm in pediatric tonsillectomy patients

“…The treatment of laryngospasm was standardized according to the following protocol: (i) positive pressure ventilation with 100% O 2 with face mask, if symptoms persist; (ii) administration of lidocaine 1 mg/kg, if symptoms still persist; (iii) administration of succinylcholine 1 mg/kg and tracheal intubation [13].…”

Anesthetic management of the child with an upper respiratory tract infection

“…The administration of anesthesia to a child with a URI has been associated with an increased incidence of adverse respiratory events including laryngospasm, bronchospasm, coughing, breath holding, and arterial oxygen desaturation [1][2][3][4]. In one large-scale study, the incidence of respiratory events was increased sevenfold in children with a URI and 11-fold if the patient's trachea was intubated [1].…”

Einsatz der Larynxmaske bei Adenotomie und Tonsillektomie bei Kindern

“…Dabei ist im akuten Infektionszustand die Neigung zu Laryngospasmen geringer als in der sich anschließenden Periode von etwa 3 Wochen, in der das Tracheobronchialsystem besonders empfindlich zu sein scheint [16]. In einer großen Studie konnten Schreiner et al [12] zeigen, dass die Laryngospasmusrate jedoch auch abhängig ist von ◗ dem Alter der Kinder, wobei die jün-geren stärker betroffen sind als die älteren, …”