In addition to today’s resource, please see and review:
- Links To Laryngospasm After Ketamine From Resus.me and Two Other Resources
Posted on October 17, 2016 by Tom Wade MD- ” Our ED sedation policy (that I wrote) required that suxamethonium* was ready and available and that an appropriate dose had been calculated before anyone got ketamine. Paralysis may extremely rarely be required, but when it’s needed you need to be ready.”
- *succinylcholine (Rx) from Medscape
Brand and Other Names:Anectine, suxamethonium, more… - “In the child without vascular access, I considered intraosseous and intralingual sux. However, intramuscular suxamethonium [succinylcholine] is likely to have a relaxant effect on the laryngeal muscles within 30-45 seconds, which has to be compared with time taken to insert and confirm intraosseous needle placement. I do not think the traditionally recommended intralingual injection has any role to play in modern airway management.”
- Reviewing Pediatric EM Morsels “Ketamine and Laryngospasm” With Links To Two Additional Resources
Posted on June 3, 2022 by Tom Wade MD - Links To And Excerpts From “Case Scenario: Perianesthetic Management of Laryngospasm in Children”
Posted on September 1, 2021 by Tom Wade MD start here - “Management of a simulated laryngospasm in a 10 month old boy”: Link To The Outstanding Video
Posted on May 8, 2023 by Tom Wade MD - Prevention and Treatment of Laryngospasm in the Pediatric Patient: A Literature Review [PubMed Abstract] [Full-Text HTML] [Full-Text PDF]. AANA J. 2019 Apr;87(2):145-151.
This chart is from The Pediatric Anesthesia Digital Handbook* from the Department of Anesthesiology, Division of Pediatric Anesthesia, Tufts Medical Center, Boston, Massachusetts, United States of America.
*The Pediatric Aneshesia Digital Handbook:
