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Laryngospasm Notch Maneuver
Aka: Laryngospasm Notch Maneuver, Laryngospasm on Induction
- See Also
- Ketamine
- Procedural Sedation
- Advanced Airway
- Indications
- Laryngospasm (especially with Ketamine in children)
- Mechanism
- Unclear (may be due to jaw-thrust motion or vagal nerve stimulation)
- Technique
- Bilateral Landmarks
- Identify a notch posterior to Ear Pinna and anterior to mastoid process
- Pressure point will be at the very apex of the notch, as hig has possible along the posterior edge of Mandible ramus
- Maneuver
- Press on both sides, at the apex of each notch
- Push inward and anterior at each of the 2 notches
- Effect
- Laryngospasm typically improves within 1-2 breaths
- Management: Alternative Measures for Laryngospasm with Consious Sedation or Induction
- See Ketamine
- Jaw Thrust Maneuver
- Two-handed bag-valve mask (BVM)
- Paralysis (Rocuronium or Succinylcholine) and intubation
- Resources
- ALIEM: Laryngospasm Notch Maneuver (Lin, 2010)
- https://www.aliem.com/2010/trick-of-trade-laryngospasm-notch/
- References
- Larson (1998) Anesthesiology 89:1293-4 +PMID:9822036 [PubMed]