Laurence Stein DDS
Medical Moderator
Dr. P,
Yes, indeed, when I encountered larygospasm during intubation, it was due to the tube touching the vocal cords. They would go into spasm and only relax after the patient became hypoxic or we gave succinylcholine. None of these cases involved a toxin or actual narrowing of the airway due to an outside agent. I see the difference.
When getting ready to anesthetize a patient who had eaten and required emergency surgery, we did a "crash induction"--bolus pentothal, curare, intubate, ventilate with N2O/O2 and add the narcotic. The fasciculations gave me the "willies".
I also would do a variation of the crash induction on patients requiring ECT (hated it). Bolus pentothal, then succinylcholine after patient lost consciousness. We left a BP cuff pumped up on one arm. When the shock was applied, and since no succinylcholine was able to affect the muscles in arm beyond the cuff, the shock created a visible seizure in the extremity. The shrink was happy cause he had a "success". I simply ventilated the patient with an ambubag until their respirations returned.
This treatment always was done on Saturdays...I hated Saturdays. I think the "shrink" was sicker than some of his patients.
Larry Stein
Yes, indeed, when I encountered larygospasm during intubation, it was due to the tube touching the vocal cords. They would go into spasm and only relax after the patient became hypoxic or we gave succinylcholine. None of these cases involved a toxin or actual narrowing of the airway due to an outside agent. I see the difference.
When getting ready to anesthetize a patient who had eaten and required emergency surgery, we did a "crash induction"--bolus pentothal, curare, intubate, ventilate with N2O/O2 and add the narcotic. The fasciculations gave me the "willies".
I also would do a variation of the crash induction on patients requiring ECT (hated it). Bolus pentothal, then succinylcholine after patient lost consciousness. We left a BP cuff pumped up on one arm. When the shock was applied, and since no succinylcholine was able to affect the muscles in arm beyond the cuff, the shock created a visible seizure in the extremity. The shrink was happy cause he had a "success". I simply ventilated the patient with an ambubag until their respirations returned.
This treatment always was done on Saturdays...I hated Saturdays. I think the "shrink" was sicker than some of his patients.
Larry Stein
