Glottis Cramp or Laryngospasm

Vocal Frenulum Spasm (Laryngospasm): Medical History

Medical history (history of illness) represents an important component in the diagnosis of laryngospasm (laryngospasm). Family history What is the general health of your family members? Are there any common atopic diseases in your family? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). What symptoms have you noticed? How long has this symptomatology … Vocal Frenulum Spasm (Laryngospasm): Medical History

Vocal Frenulum Spasm (Laryngospasm): Or something else? Differential Diagnosis

Respiratory System (J00-J99) Bronchospasm – spasm of the muscles of the bronchioles. Ictus laryngis (epilepsia laryngealis) – coughing fit leading to spasm of the glottis; occurs predominantly in men

Vocal Frenulum Spasm (Laryngospasm): Complications

The following are the most important diseases or complications that can be caused by laryngospasm (vocal spasm): Cardiovascular system (I00-I99) Cardiovascular failure

Vocal Frenulum Spasm (Laryngospasm): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing) of skin, mucous membranes, and sclerae (white part of the eye) [cyanosis/blue discoloration of skin/mucous membranes]. Auscultation (listening) of the heart. Examination of the lungs: Auscultation (listening) of the … Vocal Frenulum Spasm (Laryngospasm): Examination

Vocal Frenulum Spasm (Laryngospasm): Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Blood gas analysis (ABG) Inflammatory parameters – CRP (C-reactive protein).

Vocal Frenulum Spasm (Laryngospasm): Drug Therapy

Therapeutic target Breakthrough of laryngospasm. Therapy recommendations In cases of persistent (“not subsiding”) laryngospasm, administration of agents (e.g., propofol) for induction of anesthesia (induction of anesthesia) Injection of botulinum toxin; therapy of choice for spasmodic dysphonia (speech spasm) and laryngospasm.

Vocal Frenulum Spasm (Laryngospasm): Causes

Pathogenesis (development of disease) Laryngospasm is caused by closure of the glottis (voice-forming part of the larynx) due to reflex constriction (tightening) of the laryngeal muscles. Glottis closure may be complete or partial. Etiology (Causes) Behavioral causes Parental smoking Disease-related causes Respiratory system (J00-J99) Airway irritation caused by airway protection (endotracheal tube, laryngeal mask), suctioning, … Vocal Frenulum Spasm (Laryngospasm): Causes

Vocal Frenulum Spasm (Laryngospasm): Therapy

General measures Reassure the affected person – usually the laryngospasm lasts no more than two minutes Switch off the noxious agent, e.g. suctioning General therapeutic measures Ventilation with a respiratory mask If necessary, intubation – securing the airway using an endotracheal tube (called a tube for short; it is the breathing tube, a hollow plastic … Vocal Frenulum Spasm (Laryngospasm): Therapy

Vocal Frenulum Spasm (Laryngospasm): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. X-ray of the thorax (X-ray thorax/chest), in two planes.

Vocal Frenulum Spasm (Laryngospasm): Prevention

To prevent laryngospasm (laryngospasm), attention must be paid to reducing individual risk factors.Behavioral risk factors Parental smoking Preventive measures The following measures usually prevent iatrogenic (ancient Greek “produced by the physician”) laryngospasm: Insertion of a Guedel tube (oropharyngeal tube(revenge tube; used to keep the upper airway open) or intubation (insertion of a tube (hollow probe) … Vocal Frenulum Spasm (Laryngospasm): Prevention

Vocal Frenulum Spasm (Laryngospasm): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate laryngospasm (vocal cramp): Leading symptoms Anxiety Ventilation with face mask/laryngeal mask (laryngeal mask) not possible! Dyspnea (shortness of breath) Frustrated thoracic (chest) excursions; there is a lowering of the chest and protrusion of the abdomen, i.e., a paradoxical breathing movement called rocking breathing Stridor – whistling breathing sound. … Vocal Frenulum Spasm (Laryngospasm): Symptoms, Complaints, Signs