{"id":15715,"date":"2023-05-02T06:30:13","date_gmt":"2023-05-02T06:30:13","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=15715"},"modified":"2023-04-08T22:47:35","modified_gmt":"2023-04-08T22:47:35","slug":"laringoespasmo","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/laringoespasmo\/","title":{"rendered":"Laringoespasmo"},"content":{"rendered":"\n<p>O laringoespasmo \u00e9 at\u00e9 certo ponto uma ocorr\u00eancia comum para os anestesiologistas, mas, muitas vezes, desconhecida do m\u00e9dico endoscopista.<\/p>\n\n\n\n<p>Apesar de n\u00e3o ter uma frequ\u00eancia t\u00e3o elevada, um epis\u00f3dio com tratamento tardio ou inadequado pode ser catastr\u00f3fico.<\/p>\n\n\n\n<p>De forma resumida, seria o fechamento gl\u00f3tico causado por um reflexo exacerbado de constri\u00e7\u00e3o da musculatura intr\u00ednseca da laringe. \u00c9 essencialmente um mecanismo de prote\u00e7\u00e3o para prevenir entrada de material estranho na \u00e1rvore br\u00f4nquica. Como resultado, haver\u00e1 impedimento da ventila\u00e7\u00e3o, levando \u00e0 hipoxia e \u00e0 hipercapnia. <\/p>\n\n\n\n<p>O problema \u00e9 autolimitado na maior parte dos casos, pois por tempo prolongado, a hipoxia e a hipercapnia cessam o reflexo de espasmo. Contudo, em certos epis\u00f3dios, o espasmo pode se prolongar e trazer riscos ao paciente.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-1.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" width=\"352\" height=\"291\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-1.png\" alt=\"\" class=\"wp-image-15717\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-1.png 352w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-1-300x248.png 300w\" sizes=\"(max-width: 352px) 100vw, 352px\" \/><\/a><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>Etiologia<\/strong><\/h2>\n\n\n\n<p>Apesar de ter etiologia multifatorial, a manipula\u00e7\u00e3o da via a\u00e9rea \u00e9 o principal fator implicado. A incid\u00eancia \u00e9 maior em crian\u00e7as, pacientes com infec\u00e7\u00f5es do trato respirat\u00f3rio, ou asma, tabagistas, portadores de apneia obstrutiva do sono, refluxo gastresof\u00e1gico importante e obesos. Al\u00e9m disso, o risco \u00e9 maior em casos de manipula\u00e7\u00e3o de via a\u00e9rea e em procedimentos na cavidade oral e faringe.<\/p>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">A endoscopia digestiva alta e a broncoscopia est\u00e3o diretamente relacionadas ao laringoespasmo pelo est\u00edmulo direto da regi\u00e3o. Outras associa\u00e7\u00f5es seriam anestesia superficial no in\u00edcio e final desses procedimentos e regurgita\u00e7\u00e3o.<\/p>\n\n\n\n<p>Muitas drogas t\u00eam sido estudadas na preven\u00e7\u00e3o do laringoespasmo. Pr\u00e9-medica\u00e7ao com benzodiazep\u00ednicos reduz os reflexos de via a\u00e9rea. Lidoca\u00edna t\u00f3pica (4mg\/kg) ou venosa (1,5-2mg\/kg) parece tamb\u00e9m trazer benef\u00edcio. Cuidados n\u00e3o medicamentosos: manter o paciente em dec\u00fabito lateral esquerdo no periprocedimento.<\/p>\n\n\n\n<p>O laringoespasmo pode ser parcial, havendo passagem de certa quantidade de ar, levando a estridor inspirat\u00f3rio; ou completo, n\u00e3o havendo passagem de ar e aus\u00eancia de sons respirat\u00f3rios. Em ambos os casos, sinais de obstru\u00e7\u00e3o podem ser notados, como: retra\u00e7\u00e3o intercostal e movimentos paradoxais do t\u00f3rax e do abdome. Sinais tardios: dessatura\u00e7\u00e3o, bradicardia e cianose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Tratamento<\/strong><\/h2>\n\n\n\n<p>O tratamento consiste primeiramente em identificar e cessar o fator desencadeante.Ap\u00f3s, aplicar press\u00e3o positiva com oxig\u00eanio a 100%, anterioriza\u00e7\u00e3o da mand\u00edbula e manobra de Larson (figura1). Essa t\u00e9cnica abre as vias a\u00e9reas e causa dor periosteal, ajudando a relaxar as cordas vocais pelo sistema nervoso aut\u00f4nomo. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cessar o fator desencadeante<\/li>\n\n\n\n<li>Press\u00e3o positiva com oxig\u00eanio a 100%, <\/li>\n\n\n\n<li>Anterioriza\u00e7\u00e3o da mand\u00edbula<\/li>\n\n\n\n<li>Manobra de Larson<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-2.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" width=\"600\" height=\"266\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-2.png\" alt=\"\" class=\"wp-image-15718\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-2.png?v=1680994212 600w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-2-300x133.png?v=1680994212 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-2-585x259.png?v=1680994212 585w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/a><figcaption class=\"wp-element-caption\"><strong>Figura 1. Ponto do laringoespasmo (seta).<\/strong> Local onde se realiza a manobra de Larson: compress\u00e3o simult\u00e2nea em ambos os lados da cabe\u00e7a, na depress\u00e3o localizada atr\u00e1s do l\u00f3bulo das orelhas e limitada anteriormente pelo ramo ascendente da mand\u00edbula adjacente ao c\u00f4ndilo, posteriormente pelo processo masto\u00f3ide do osso temporal e superiormente pela base do cr\u00e2nio. Concomitantemente, deve ser feito o deslocamento anterior da mand\u00edbula. Erro comum \u00e9 aplicar press\u00e3o no \u00e2ngulo da mand\u00edbula, devendo ser mais cef\u00e1lico.<\/figcaption><\/figure>\n<\/div>\n\n\n<p>Ap\u00f3s, aplicar press\u00e3o positiva com oxig\u00eanio a 100%, anterioriza\u00e7\u00e3o da mand\u00edbula e manobra de Larson (figura 1). Essa t\u00e9cnica abre as vias a\u00e9reas e causa dor periosteal, ajudando a relaxar as cordas vocais pelo sistema nervoso aut\u00f4nomo. Obtendo-se melhora do quadro, o diagn\u00f3stico seria de espasmo parcial. Persistindo o quadro, seria um caso de laringoespasmo completo, sendo importante a ajuda de outro profissional e aprofundamento da anestesia com Propofol (0,25-0,8mg\/kg). Provavelmente ser\u00e1 necess\u00e1rio ventilar o paciente em consequ\u00eancia de apneia transit\u00f3ria. <\/p>\n\n\n\n<p>A chance de revers\u00e3o do quadro com Propofol \u00e9 bastante alta. Todavia, se n\u00e3o houver melhora, utiliza-se Succinilcolina (0,1mg\/kg-1,2mgkg EV ou 3-4mg\/kg IM). Ter em mente que o Propofol \u00e9 prefer\u00edvel frente \u00e0 Succinilcolina, j\u00e1 que nessa dose n\u00e3o acarreta muita repercuss\u00e3o hemodin\u00e2mica e n\u00e3o traz risco de paralisia muscular.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Algoritmo de tratamento escalonado enquanto n\u00e3o h\u00e1 melhora do quadro: <\/strong><\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-4.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" width=\"307\" height=\"543\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-4.png\" alt=\"\" class=\"wp-image-15720\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-4.png 307w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/04\/image-4-170x300.png 170w\" sizes=\"(max-width: 307px) 100vw, 307px\" \/><\/a><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>Conclus\u00e3o <\/strong> <\/h2>\n\n\n\n<p>\u00c9 de suma import\u00e2ncia identificar os fatores de risco para o desenvolvimento do laringoespasmo e reconhec\u00ea-lo rapidamente, antes que a condi\u00e7\u00e3o do paciente se deteriore. Uma seda\u00e7\u00e3o profunda para realiza\u00e7\u00e3o da endoscopia \u00e9 essencial. <\/p>\n\n\n\n<p>Al\u00e9m disso, o conhecimento das doses das principais medica\u00e7\u00f5es utilizadas para reverter o espasmo: propofol e succinilcolina. <\/p>\n\n\n\n<p>Finalmente, importante avaliar se o paciente n\u00e3o cursou com broncoaspira\u00e7\u00e3o ou edema agudo de pulm\u00e3o por press\u00e3o negativa pelo esfor\u00e7o respirat\u00f3rio contra obstru\u00e7\u00e3o.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancias:&nbsp;&nbsp;&nbsp;<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Landsman IS. Mechanisms and treatment of Laryngospasm. Int Anesthesiol Clin. 1997 Summer;35(3):67-73. PMID: 9361977<\/li>\n\n\n\n<li>Alalami AA, Ayoub CM, Baraka AS. Laryngospasm: review of different prevention and treatment modalities. Paediatr Anaesth. 2008 Apr;18(4):281-8. doi: 10.1111\/j.1460-9592.2008.02448.x. PMID: 18315632<\/li>\n\n\n\n<li>Soares RR, Heyden EG. Tratamento do Laringoespasmo em anestesia pedi\u00e1trica por digitopress\u00e3o retroauricular: relato de casos. Rev. Bras. Anestesiol. Dez 2008;&nbsp; 58:6:631-636<\/li>\n\n\n\n<li>Chen Y, Zhang X. Acute postobsctrutive pulmonry edema following laryngospasm in elderly patients: a case report. J Perianesth Nurs. 2019 Apr;34(2):250-258. PMID: 30100095<\/li>\n\n\n\n<li>Moura TSM, Silva FCP, Taves LOAF. Laringoespasmo em anestesia pedi\u00e1trica. Rev Med Minas Gerais 2018;28 (Supl 8): S20-S27<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Como citar este arquivo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Elder P. Laringoespasmo. Endoscopia Terapeutica 2023, Vol 1. Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/laringoespasmo\/(abrir em uma nova aba)\">https:\/\/endoscopiaterapeutica.net\/pt\/laringoespasmo\/<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/h2>\n","protected":false},"excerpt":{"rendered":"<p>O laringoespasmo \u00e9 at\u00e9 certo ponto uma ocorr\u00eancia comum para os anestesiologistas, mas, muitas&hellip;<\/p>\n","protected":false},"author":5654,"featured_media":15717,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[555],"tipo":[159],"volume":[263],"class_list":["post-15715","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-555","tipo-outros","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Laringoespasmo &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"description\" content=\"O laringoespasmo \u00e9 at\u00e9 certo ponto uma ocorr\u00eancia comum para os anestesiologistas, mas, muitas vezes, desconhecida do m\u00e9dico endoscopista.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/laringoespasmo\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Laringoespasmo\" \/>\n<meta property=\"og:description\" content=\"O laringoespasmo \u00e9 at\u00e9 certo ponto uma ocorr\u00eancia comum para os anestesiologistas, mas, muitas vezes, desconhecida do m\u00e9dico endoscopista. 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