#paeds see also: resus/Airway/[[Airway#Laryngospasm]], [[Tracheostomy|CICO]] see: [RCH - CICO](https://www.rch.org.au/clinicalguide/guideline_index/CICO/) Laryngospasm is *complete or partial sustained adduction of the vocal cords*. Signs include: - paradoxical chest movement or a rigid abdominal muscles - high pitched stridor - destauration - **can be silent** *Partial laryngospasm* will allow some movement of air/oxygen and the stridor is usually loud. ==Complete laryngospasm is silent==. With emergency intubations, the routine use of muscle paralysis will mean that laryngospasm should not occur. It is therefore more likely in elective general anaesthesia, with the administration of procedural sedation, or in partially unconscious patients who have maintained some airway reflexes # Management of laryngospasm > [!warning] steps > 1. stop any procedures or stimulating procedures > 2. call for help > 3. administer 100% O2 via facemask, chin lift, administer CPAP > 4. medications > 1. *propofol 0.5-1 mg/kg* for partial laryngospasm > 2. *suxamethonium 1mg/kg* (full paralysis not required to break laryngospasm) > 5. intubation if required ![[Pasted image 20240516153611.png]]