A 2-year-old child underwent adenotonsillectomy and is extubated, following which develops laryngospasm. It is noticed that the existing intravenous line is not functional. Choose the route of succinyl choline administration that would not be your first - Answer & Explanation
- Intramuscular
- Intralingual
- Intraosseous ✓ Correct Answer
- Submental
Explanation:
Intraosseous line if already present can be used. But securing an intraosseous line in times of emergency in the operation theatre may not be as quick as injecting intralingual, submental or intramuscular. Hence it is preferable to initially inject succinyl choline in the intralingual, submental or intramuscular route while trying to secure an alternate intravenous or intraosseous access.
References:
Gavel G, Walker R Laryngospasm in anaesthesia. Continuing Education in Anaesthesia, Critical Care and Pain, 14, 47-51
Hampson-Evans D, Morgan P, Farrar M. Pediatric laryngospasm. Paediatr Anaesth. 2008 Apr;18(4):303-7. doi: 10.1111/j.1460-9592.2008.02446.x. PMID: 18315635.
Comprehensive Review of Laryngospasm. Catarina R. Silva*, Teresa Pereira, Diana Henriques and Filipa Lanca *Correspondence email: catarina92@gmail.com WFSA-D-18-00036. https://resources.wfsahq.org/wp-content/uploads/New-Update-35-Laryngospasm.pdf