Skip to main content Accessibility help
Hostname: page-component-7479d7b7d-t6hkb Total loading time: 0 Render date: 2024-07-14T21:20:16.475Z Has data issue: false hasContentIssue false

Chapter 15 - Management of patients with laryngospasm

Published online by Cambridge University Press:  05 December 2015

Lauren C. Berkow
The Johns Hopkins University School of Medicine
John C. Sakles
University of Arizona College of Medicine
Get access


Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Publisher: Cambridge University Press
Print publication year: 2015

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)


Hampson-Evans, D., Morgan, P., Farrar, M.. Pediatric laryngospasm. Paediatr Anaesth 2008; 18: 303–7.CrossRefGoogle ScholarPubMed
Sumner, E., Hatch, D. J. (eds.). Paediatric Anesthesia, 2nd edition. London: Arnold; 1999.Google Scholar
Shapiro, J., Dowdall, J., Thompson, C.. Paradoxical vocal fold motion. Updated May 22, 2014. (Accessed November 21, 2014.)Google Scholar
McCool, F. D.. Global physiology and pathophysiology of cough: ACCP evidence-based clinical practice guidelines. Chest 2006; 129(suppl 1): 48S53S.CrossRefGoogle ScholarPubMed
Newman, K. B., Mason, U. G. 3rd, Schmaling, K. B.. Clinical features of vocal cord dysfunction. Am J Respir Crit Care Med 1995; 152: 1382–6.CrossRefGoogle ScholarPubMed
Yelken, K., Yilmaz, A., Guven, M., Eyibilen, A., Aladag, I.. Paradoxical vocal fold motion dysfunction in asthma patients. Respirology 2009; 14: 2933.CrossRefGoogle ScholarPubMed
Forrest, L. A., Husein, T., Husein, O.. Paradoxical vocal cord motion: classification and treatment. Laryngoscope 2012; 122: 844–53.CrossRefGoogle ScholarPubMed
Chiang, T., Marcinow, A. M., deSilva, B. W., Ence, B. N., Lindsey, S. E., Forrest, L. A.. Exercise-induced paradoxical vocal fold motion disorder: diagnosis and management. Laryngoscope 2013; 123: 727–31.CrossRefGoogle ScholarPubMed
Marcinow, A. M., Thompson, J., Chiang, T., et al. Paradoxical vocal fold motion disorder in the elite athlete: experience at a large division I university. Laryngoscope 2014; 124: 1425–30.CrossRefGoogle Scholar
Luce, V., Harkouk, H., Brasher, C., et al. Supraglottic airway devices vs. tracheal intubation in children: a quantitative meta-analysis of respiratory complications. Pediatr Anesth 2014; 24: 1088–98.CrossRefGoogle ScholarPubMed
Mihara, T., Uchimoto, K., Morita, S., et al. The efficacy of lidocaine to prevent laryngospasm in children: a systematic review and meta-analysis. Anaesthesia 2014; 69: 1388–96.CrossRefGoogle ScholarPubMed
Larsen, B., Caruso, L. J., Villariet, D. B.. Paradoxical vocal cord motion: an often misdiagnosed cause of postoperative stridor. J Clin Anesth 2004; 16: 230–4.CrossRefGoogle ScholarPubMed
Arndt, G. A., Voth, B. R.. Paradoxical vocal cord motion in the recovery room: a masquerader of pulmonary dysfunction. Can J Anaesth 1996; 43: 1249–51.CrossRefGoogle ScholarPubMed
Green, S. M., Roback, M. G., Kennedy, R. M., Krauss, B.. Clinical practice guideline for emergency department ketamine dissociative sedation: 2011 update. Ann Emerg Med 2011; 57: 449–61.CrossRefGoogle ScholarPubMed
Green, S. M., Roback, M. G., Krauss, B.. Laryngospasm during emergency department ketamine sedation. Pediatr Emerg Care 2010; 26: 798802.CrossRefGoogle ScholarPubMed
Perkner, J. J., Fennelly, K. P., Balkissoon, R., et al. Irritant-associated vocal cord dysfunction. J Occup Environ Med 1998; 40: 136–43.CrossRefGoogle ScholarPubMed
Husein, O. F., Husein, T. N., Gardner, R., et al. Formal psychological testing in patients with paradoxical vocal fold dysfunction. Laryngoscope 2008; 118: 740–7.CrossRefGoogle ScholarPubMed
Morris, M. J., Oleszewski, R. T., Sterner, J. B., et al. Vocal cord dysfunction related to combat deployment. Mil Med 2013; 178: 1208–12.CrossRefGoogle ScholarPubMed
Neustein, S. M., Taitt-Wynter, L. M., Rosenblatt, M. A.. Treating stridor with opioids: a challenging case of paradoxical vocal cord movement. J Clin Anesth 2010; 22: 130–1.CrossRefGoogle ScholarPubMed
Goldman, J., Muers, M.. Vocal cord dysfunction and wheezing [editorial]. Thorax 1991; 46: 401–4.CrossRefGoogle ScholarPubMed
Pitchenik, A. E.. Functional laryngeal obstruction relieved by panting. Chest 1991; 100: 1465–7.CrossRefGoogle ScholarPubMed
Heiser, J. M., Kahn, M. L., Schmidt, T. A.. Functional airway obstruction presenting as stridor: a case report and literature review. J Emerg Med 1990; 8: 285–9.CrossRefGoogle ScholarPubMed
Weir, M.. Vocal cord dysfunction mimics asthma and may respond to heliox. Clin Pediatr (Phila) 2002; 41: 3741.CrossRefGoogle ScholarPubMed
Morris, M. J., Allan, P. F., Perkins, P. J.. Vocal cord dysfunction. Clin Pulm Med 2006; 13: 7386.CrossRefGoogle Scholar
Al-Metwalli, R. R., Mowafi, H. A., Ismail, S. A.. Gentle chest compression relieves extubation laryngospasm in children. J Anesth 2010; 24: 854–7.CrossRefGoogle ScholarPubMed
Butterworth, J., Mackey, D. C., Wasnick, J. (eds.). Morgan and Mikhail’s Clinical Anesthesiology, 5th edition. New York: McGraw-Hill; 2013: pp. 309–41.Google Scholar
Afshan, G., Chohan, U., Qamar-Ul-Hoda, M., et al. Is there a role of a small dose of propofol in the treatment of laryngeal spasm? Paediatr Anaesth 2002; 12: 625–8.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the or variations. ‘’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats