RESUMO
Procedures in class B ambulatory facilities are performed exclusively with oral or IV sedative-hypnotics and/or analgesics. These facilities typically do not stock dantrolene because no known triggers of malignant hyperthermia (ie, inhaled anesthetics and succinylcholine) are available. This article argues that, in the absence of succinylcholine, the morbidity and mortality from laryngospasm can be significant, indeed, higher than the unlikely scenario of succinylcholine-triggered malignant hyperthermia. The Society for Ambulatory Anesthesia (SAMBA) position statement for the use of succinylcholine for emergency airway management is presented.
Assuntos
Manuseio das Vias Aéreas/métodos , Assistência Ambulatorial/estatística & dados numéricos , Anestesia , Laringismo/mortalidade , Hipertermia Maligna/mortalidade , Fármacos Neuromusculares Despolarizantes/efeitos adversos , Succinilcolina/efeitos adversos , Manuseio das Vias Aéreas/efeitos adversos , Instituições de Assistência Ambulatorial , Dantroleno/efeitos adversos , Dantroleno/uso terapêutico , Serviços Médicos de Emergência , Humanos , Laringismo/tratamento farmacológico , Relaxantes Musculares Centrais/efeitos adversos , Relaxantes Musculares Centrais/uso terapêutico , Assistência Perioperatória , PrevalênciaRESUMO
Pigs are frequently anaesthetized in animal research settings. Due to the unique laryngeal anatomy, endotracheal intubation is demanding in pigs. Several complications associated with endotracheal intubation have been reported in pigs, but laryngeal perforation following difficult intubation has not been documented so far. The present case report describes laryngeal perforation in a three-month-old pig following difficult intubation.
