Isolated Oropharyngeal Muscle Spasm in a Young Child post Extubation: A Case Report

Isolated Oropharyngeal Muscle Spasm in a Young Child post Extubation

  • Deepak Singla Associate Professor, Department of Anaesthesiology, AIIMS, Rishikesh, Uttarakhand, India
  • Abullais Raheeq Gowda Junior Resident, Department of Anaesthesiology, AIIMS, Rishikesh, Uttarakhand, India
  • Vamshi Krishna Junior Resident, Department of Anaesthesiology, AIIMS, Rishikesh, Uttarakhand, India
  • Shipra Tandon Senior Resident, Department of Anaesthesiology, AIIMS, Rishikesh, Uttarakhand, India
Keywords: Isolated oropharyngeal muscle spasm, child, Voluntary breath holding, laryngospasm, brochospasm, cerebral palsy, desaturation

Abstract

Agitation during emergence from anaesthesia is a  documented phenomenon reported in children especially during immediate postoperative period; also Voluntary breath holding1and laryngospasm. This can lead to complications like postoperative distress, excessive crying, and anxiety. Here we report a case of postoperative respiratory distress in an 8 years old child of cerebral palsy developing  severe oropharyngial spasm in the immediate postoperative period. Patient had no preoperative predisposing factors or intaraoperative events that could cause bronchospasm, laryngospasm, inadequate neuromuscular reversal or voluntary holding in the immediate postoperative period. Timely  recognition and management of the condition prevented catastrophic complications like severe desaturation, hypoxic injury, negative pressure pulmonary edema or cardiac arrest.

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Published
2020-07-06
How to Cite
Singla, D., Abullais Raheeq Gowda, Krishna, V., & Tandon, S. (2020). Isolated Oropharyngeal Muscle Spasm in a Young Child post Extubation: A Case Report. Academia Anesthesiologica International, 5(1), 162-164. Retrieved from http://aijournals.com/index.php/aan/article/view/1606