Laryngospasm

🔑 Key Priorities

• Break spasm and maintain SpO₂

• Prevent aspiration and arrest

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🧠 Team Actions

Role	Task
Team Leader	Directs sequence of interventions
Assistant	Jaw thrust, apply CPAP, Larson’s point stimulation
Drug Assistant	Prepare suxamethonium and intubation drugs
Airway Operator	Intubate or place LMA if required

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🧭 Management Algorithm

1. Call for help

2. Remove stimulus, suction airway

3. Apply jaw thrust and CPAP (30 cmH₂O)

4. Apply Larson’s manoeuvre (behind earlobe)

5. If unresolved:

   • Propofol bolus (20% induction dose)

   • Suxamethonium IV 0.5–1mg/kg (or IM 4mg/kg)

6. If hypoxia persists or HR drops → intubate

7. Consider atropine if bradycardic

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🔄 Ideal Crisis Flow

        Suspected Laryngospasm
               ↓
    Remove Stimulus, Apply Jaw Thrust
               ↓
     CPAP + Larson’s Point Pressure
               ↓
     If not resolving → Propofol or Sux
               ↓
         Consider Intubation