Podcasts about laryngospasm

keywords   medical emergencies, dental office, anesthesia, airway issues, syncope, laryngospasm, bronchospasm, patient safety, sedation, anesthesiology   summary   In this conversation, Dr. Serv Wahan and Dr. Peter Pfeiffer discuss critical medical emergencies that can occur in dental settings, focusing on anesthesia-related issues. They explore common emergencies such as syncope, the differences between laryngospasm and bronchospasm, and the protocols for managing these situations effectively. The discussion emphasizes the importance of preparedness in dental offices, including the necessity of monitoring equipment and understanding patient safety during sedation procedures.   takeaways Medical emergencies in dental offices are common and require preparedness. Syncope is the most frequent emergency, often caused by fainting. Proper monitoring equipment, like pulse oximeters, is essential in dental practices. Laryngospasm can occur during sedation and requires immediate attention. Understanding the difference between laryngospasm and bronchospasm is crucial for management. Efficient management of emergencies can reduce patient risks and improve outcomes. Anesthesiologists play a vital role in complex dental procedures. Training and experience in anesthesia can vary significantly among dental professionals. Patient safety protocols should be in place for all sedation procedures. Communication and teamwork are key in managing medical emergencies in dental settings. titles Navigating Medical Emergencies in Dental Practices The Role of Anesthesia in Dental Emergencies Sound Bites "I've seen dental students faint." "If you see someone pass out, lay them down." "Laryngospasm is a cough gone haywire." "Halcion has a little amnesia with it." Chapters   00:00 Introduction to Medical Emergencies in Dental Settings 04:23 Common Medical Emergencies: Syncope and Fainting 10:08 Understanding Airway Complications: Laryngospasm vs. Bronchospasm 16:12 Managing Laryngospasm: Techniques and Protocols

How long can you hold your breath? “90% of the blackouts happen near the surface at the very end of the dive.”  In short, we talk about this in the episode: How dangerous is freediving really? Step by step, what happens during a vertical freedive?  What surprising reflexes help humans survive longer underwater? Who was Stephen Keenan to Lily and what happened on July 22nd, 2017?  In more words: Imagine walking 120 meters (131 yards) on one breath. Think you can make it?  And now imagine doing the same thing… diving. Miscalculated, ran out of oxygen? Tough luck, no way to breathe before you reach the surface! What sounds like a crazy, dangerous endeavour is Lily Crespy's passion and the most peaceful activity she can imagine. Freediving. Upon discovering this niche sport, not even a broken leg could stop Lily from diving into a new life. Formerly a molecular biologist, Lily became an athlete, competing in the world championships, and working internationally as a freediving instructor. In 2017, a tragic accident (“The Deepest Breath” movie, available on Netflix) involving Lily's friends - world-renowned safety diver Stephen Keenan and record-breaking freediving champion Alessia Zecchini – changed the trajectory of Lily's career.  Let Lily take you on a deep dive and explain the intriguing physiological reflexes that help humans survive longer underwater. Listen to her personal account of Stephen Keenan's fatal accident. And learn what she is up to now, writing a new chapter back home in Nice, France. Mentioned in this episode: “The Deepest Breath” movie“The Big Blue” movieWim Hof breathing method (NOT to be used for freediving in the water; can be used for static apnea)Mammalian Dive Reflex (set of physiological responses to immersion in water)Laryngospasm (protective reflex against pulmonary aspiration)Blow-Tap-Talk (method to recover blacked-out diver)Alexey Molchanov  & Natalia Molchanova († 2nd August 2015)Dahab Freedivers (freediving school in Dahab, Egypt, founded by Pascal Berger, Miguel Lozano, and Stephen Keenan, later run by Lily Crespy as manager)Alessia ZecchiniStephen Keenan († 22nd July 2017)Do you want to connect with Lily?www.enki-coaching.comIG: @lilycrespyFB: @lily.crespyDo you enjoy WHYLD? Then get in touch! Quick one-stop-shop: www.linktr.ee/whyld.podcast Follow us on Instagram: @whyld.thepodcast Find us on Facebook: @whyld.one Or visit our website: www.whyld.one

In this podcast, Dr. Helena Leahy reviews risk factors, mechanism, signs and symptomsm, and appropriate management of laryngospasm. Upon listening to this presentation, learners should be able to: - Identify the risk factors of laryngospasm - Describe the mechanism of laryngospasm - Explain how to diagnose and treat laryngospasm Publication date: April 11, 2023. Citation: Leahy H, Marcley S, Wolbrink TA, Wang JT. Laryngospasm. 04/2023. Online Video. Leahy H, Marcley S, Wolbrink TA, Wang JT. Laryngospasm. 04/2023. OPENPediatrics. Online Course: https://learn.openpediatrics.org/learn/course/internal/view/elearning/5394/laryngospasm. Video: https://youtu.be/hu4h5HdlqEA. Podcast: https://soundcloud.com/openpediatrics/laryngospasm-by-dr-helena-leahy-for-openpediatrics. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

What is the difference between a bronchospasm and laryngospasm? Jenny Finnell, CRNA, discusses this subject in this Quick Hit Session. While laryngospasm affects your vocal cords, bronchospasm affects your bronchi. This is an extremely important distinction that will help you decide what action to take for either case. Learn more about bronchospasm and laryngospasm in this quick hit session with Jenny Finnell!Get access to planning tools, mock interviews, valuable CRNA Faculty guidance, and mapped-out courses that have been proven to accelerate your CRNA success! Become a member of CRNA School Prep Academy here! https://www.crnaschoolprepacademy.com/joinBook a mock interview, personal statement, resume and more at http://www.NursesTeachNurses.comJoin the CSPA email list here! https://www.cspaedu.com/podcast-emailSend Jenny an email or make a podcast request!CSPA Guarantee Waitlist: https://www.cspaedu.com/a53oilwn

In the December issue of the Annals Rory and Ryan discuss Predictors of Laryngospasm, intervention to reduce computer tomography usage and much more

Mike Clifford, a paediatric intensivist and anaesthesiologist joins us to discuss the incidence and management of Laryngospasm in the perioperative environment. 

This month we discuss Laryngospasm in paediatric sedation | Case Based Discussions | Use of Non-Sterile Gloves for Wound Closure | and new online material from RCEMearning  This month we've got two New in EM papers, delve into two meaty Case Based Discussions and discuss some new articles in New Online. Be sure to check out the papers and links below! (01:30) New in EM – Laryngospasm in paediatric sedation Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation (17:17) Case Based Discussions (42:55) New in EM – Non-sterile gloves for wound closure Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial Commentary by Metcalfe et al (52:36) New Online – new articles on RCEMLearning for your CPD Incivility in the ED - Nicki Credland, Dan Derbyshire Uncommon Nerve Entrapment Syndromes - Jules Blackham Sexual Assault Aftercare in the Emergency Department - Ellisiv Clarke, Michelle Tun

Intraoperative diagnosis and management of bronchospasm and laryngospasm.

Today's episode is dedicated to acute management of laryngospasm. Join us as we discuss the patient case, symptoms, and treatment.  Joining us is Dr. Tom Austin, director of General Pediatric Anesthesiology at Children's Healthcare of Atlanta-Egleston. He's also an associate professor of anesthesia and pediatrics at Emory University School of Medicine.  https://www.dropbox.com/s/sw67ofshib2p2gi/Laryngospasm.jpg?dl=1 (>>Click here to download the PICU card for this episode

Laryngospasm

Brief review of some of the key points Dr. Harper mentioned in previous episode using board questions. Laryngospasm is an anesthetic emergency requiring a prompt response. Tune in to learn more about this emergent condition and its management.

Joining us today on the show is Dr. Jimmie Harper from Cincinnati, OH to talk about perioperative anesthetic emergencies. Laryngospasm is an anesthetic emergency requiring a prompt response. Tune in to learn more about this emergent condition and its management.

In this 126th episode I welcome back Dr. Gillian Isaac to discuss 2 more ABA key words: Ketamine and Laryngospasm.

Laryngospasm including Laryngeal Closure Reflex, Signs and symptoms and Management

Terminology Wet, dry, or near drowning are not medically accepted terms and should not be used. There is nothing “near” about drowning. It happened or it didn’t. Drowning is: “the process of experiencing respiratory impairment due to submersion or immersion in liquid.”   Drowning has three outcomes. This is a uniform way of reporting data after a drowning event is using the Utstein template: 1) Morbidity 2) No morbidity 3) Mortality Submersion or immersion incident without evidence of respiratory impairment is considered a water rescue and not a drowning. Pathophysiology A person holds their breath until water enters the mouth. This water is voluntarily spat out or swallowed. The next conscious response is breath holding which lasts around one minute. The inspiratory drive becomes to strong and some water is aspirated into the airways (reflexive swallowing). Laryngospasm occurs, but is rapidly terminated by the onset of brain hypoxia. Aspiration continues, and hypoxemia leads to the loss of consciousness and apnea. The initial cardiac rhythm is tachycardia, then bradycardia, then asystole. - Adapted from Szpilman et. al.  On average, less than 30 mL of fluid or NO fluid enters the lungs.  Clinical presentation Water washes out surfactant = frothy pulmonary edema Cellular Injury – alveolar collapse leads to atelectasis Hypoxic vasoconstriction due to V/Q mismatch Bronchospasm Inflamation The main problem is NO OXYGEN TO THE BRAIN. This is a hypoxic cardiac arrest and should be treated as such.  In-water Rescue (If properly trained) “Reach, Throw, Row, Don’t GO” – Don’t become a victim If properly trained, and the patient HAS A PULSE, mouth to mouth resuscitation can result and a 3 times greater likelihood of surviving as compared with taking the person first to land.  CPR will be ineffective Cervical Spine Immobilization  Incidence of cervical spine injuries is 0.5%-5% Without obvious signs of trauma or a known fall or diving event, routine cervical spine immobilization is unnecessary and can delay providing oxygen to the brain. If the patient is awake, follow standard spinal clearance algorithms. Land Resuscitation  Airway, Airway, Airway  Start with basics: Mouth to mouth, mouth to mask, BVM, Etc. Delay placing an advanced airway – restoring oxygenation is more important. Cardiac arrest in drowning is due to hypoxia. There is no place for “hands only CPR” CPR only will only circulate blood with a severe oxygen debt that won’t be restored without positive pressure ventilation. Beware of Acute Pulmonary Edema  Water + Soap = Foam. Possibly lots of it. You don’t need to suction unless vomit or frank water is present. Suctioning foam will keep coming. Bag it down. Use PEEP The Heimlich maneuver No. Little water is aspirated into the lungs, and it only delays the administration of oxygen. If patient is awake and/or has a pulse and is intubated CPAP if not at risk for vomiting If managed via an advanced airway, use an ARDS approach Low tidal volumes: 6-8 cc/kg of ideal body weight Respiratory rate to maintain eucapnea: 16-18 Increase PEEP and FiO2 in tandem to achieve and adequate SpO2 Who should be resuscitated?  Per WMS Practice Guidelines: “Minimal chance of neurologically intact survival with submersion time greater than 30 minutes in water greater than 43 degrees F.” “Minimal chance of Minimal chance of neurologically intact survival with submersion time greater than 90 minutes in water less than 43 degrees F.” When should resuscitative efforts cease?  WMS Recommendation: After 25 minutes continuous CPR What about cold water drowning? A Dutch prospective of children who drowned in cold water showed that no child in asystole, who was resuscitated for more than 30 min survived without being neurologically devastated. Another large study conducted by Quan et. al. involving adults who drowned in cold or very cold waters showed that of 1094 victims, the majority had bad outcomes. Those with good outcomes were likely to be submerged for less than 11 minutes. Brown et. al found that there is a neuroprotective effect in avalanche victims, but not in those who asphyxiated first, then became hypothermic. The mantra “they’re not dead until they’re warm and dead” appears to be overhyped, and more and more data suggests there’s not as much of a neuroprotective effect of cold water drowning as once thought, and that mantra is probably only applicable to the patient who becomes hypothermic before going into cardiac arrest or becoming hypoxic. Disposition of an awake patient Most patients who experienced a drowning incident requiring the need for EMS to be contacted should be transported for evaluation. Depending on where you practice, you may have to make a mission critical decision of whether or not to evacuate or continue with close monitoring of the patient.  Statistically, a person without a severe cough, frothy sputum or a foamy airway, and a normal cardiac examination has a mortality rate of 0%.  The more severe the symptoms, the higher the mortality:

Laryngospasm with Debnath Chatterjee