Patient's question:
Children are not easy to supplement calcium, but the doctor said to drink calcium gluconate oral solution. It is said that there is some laryngeal spasm, and I am very worried about the baby's health! Thank you to the doctors for giving some guidance!...Doctor's answer:
Mild cases may present as mild inspiratory stridor, while severe cases may recur with complete upper airway intestinal obstruction. Although the former is not considered a fatal recurrence, improper management can rapidly progress to the latter. Complete upper airway intestinal obstruction is characterized by the disappearance of inspiratory stridor. It is particularly important that this "silent" intestinal obstruction should not be mistaken for clinical stability.Recommendations: If laryngospasm recurs, the following measures can be taken to resolve it:
1. Administer pure oxygen inhalation, with non-invasive positive pressure ventilation (NPPV) if necessary, until the patient regains consciousness and the laryngospasm resolves.
2. If the laryngospasm is caused by inadequate anesthesia, administer intravenous or inhaled anesthetics to deepen the anesthesia until the laryngospasm and other symptoms subside.
3. If necessary, administer a short-acting muscle relaxant, and intubation may be performed if needed.
It is generally believed that if a patient with laryngospasm has an SpO2 < 85% after extubation, further intervention is required. Additionally, anticholinergic drugs such as atropine can be used to increase glandular secretion, thereby increasing oropharyngeal secretions.