Laryngospasm In A Patient With Penetrating Neck And Jaw Trauma
A 22-year-old male underwent an emergent right neck exploration after multiple gunshot wounds to the neck and jaw. The patient was successfully extubated on post-operative day 7, however two days later, he unexpectedly returned to the OR for malposition of his PEG tube. The patient was re-intubated for the procedure. Post-operatively, patient was extubated but developed laryngospasm and could not be positive-pressure ventilated due to post-traumatic/post-surgical airway anatomy. The decision was made to place an emergent tracheostomy. In this case report, we will discuss risks associated with post-extubation laryngospasm, and the management of the traumatic/altered airway post-extubation.
Bolz E, Kouatli Y, Niederhauser A. Laryngospasm in a patient with penetrating neck and jaw trauma. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.