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References in periodicals archive ?
As far as exxtubation under deep anaesthesia is concerned a potential advantage of deep tracheal extubation, as opposed to awake extubation, is that patients are less likely to cough and strain afterward, thus avoiding the likelihood of laryngospasm and oxygen desaturation.
Several studies on LMA and ETI during adenotonsillectomy and other surgical procedures reported a significant increase in the rate of laryngospasm with ETI compared with LMA 14-17 whereas some others failed to show any significant increase in the rate of laryngospasm with ETI.11
Complications were seen in 9% ( n = 284) of the patients: 87 (2.8%) had laryngeal edema, 109 (3.5%) had severe hypoxemia, 45 (1.4%) had complete laryngospasm, 23 (0.7%) had pneumothorax, 12 (0.4%) had atelectasis, and 8 (0.3%) died postoperatively.
Laryngospasm is a protective reflex closure of the upper airway from spasm of the glottic musculature as the result of an abnormal stimulus.8 Laryngospasm is mediated by the superior laryngeal nerve.9 It occurs more commonly in paediatric anaesthesia and after certain procedures.
(7) In addition, the laryngopharyngeal epithelium becomes inflamed, and this affects the sensitivity of laryngeal sensory endings and leads to laryngospasm and coughing.
Tube exchange rate was taken as primary outcome and incidence of postoperative morbidities such as hoarse cry, laryngospasm and apnoeic spell were considered as secondary outcome measures.
Tsui et al19 also concluded the effectiveness of 'No touch' extubation technique on the incidence of coughing, oxygen desaturation, or laryngospasm in children undergoing adeno-tonsillectomy using sevoflurane as anaesthetic agent.
12 Laryngospasm is another serious complication that is seen approximately in 10% of patients with upper airway interventions.