Laryngospasm During Anesthesia in Emergency Surgery for Ruptured Ectopic Pregnancy: A Case Report

ABSTRACT This case report highlights the challenges of managing laryngospasm during emergency surgery for a ruptured ectopic pregnancy. Laryngospasm, a serious complication of anesthesia, causes involuntary laryngeal muscle contractions that obstruct the airway and can lead to hypoxemia, unconscious...

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Main Authors: Banafsheh Mashak, Hawraa Shbeeb, Samaneh Yavari, Mehdi Mirzaee, Reza Saeedinia, Marjan Ghaemi
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.70297
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author Banafsheh Mashak
Hawraa Shbeeb
Samaneh Yavari
Mehdi Mirzaee
Reza Saeedinia
Marjan Ghaemi
author_facet Banafsheh Mashak
Hawraa Shbeeb
Samaneh Yavari
Mehdi Mirzaee
Reza Saeedinia
Marjan Ghaemi
author_sort Banafsheh Mashak
collection DOAJ
description ABSTRACT This case report highlights the challenges of managing laryngospasm during emergency surgery for a ruptured ectopic pregnancy. Laryngospasm, a serious complication of anesthesia, causes involuntary laryngeal muscle contractions that obstruct the airway and can lead to hypoxemia, unconsciousness, or death if untreated. A 39‐year‐old obese woman presented with acute abdominal pain and symptoms of a ruptured ectopic pregnancy. During anesthesia induction, she experienced laryngospasm, complicating intubation and requiring the use of a laryngeal mask airway. Treatment with subcutaneous epinephrine, nebulized morphine, and aminophylline successfully restored her airway, allowing the surgery to proceed without further complications. This case emphasizes the importance of being prepared to manage laryngospasm, particularly in high‐risk patients with factors like obesity, emotional stress, or a history of asthma. It highlights the need for anesthesiologists to remain vigilant and respond swiftly to early signs of airway obstruction. The report underscores the value of teamwork and timely intervention in managing emergencies to ensure patient safety and prevent life‐threatening outcomes.
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publishDate 2025-03-01
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series Clinical Case Reports
spelling doaj-art-e57938e0b8be4932adc185fc5c967c7c2025-08-20T02:50:55ZengWileyClinical Case Reports2050-09042025-03-01133n/an/a10.1002/ccr3.70297Laryngospasm During Anesthesia in Emergency Surgery for Ruptured Ectopic Pregnancy: A Case ReportBanafsheh Mashak0Hawraa Shbeeb1Samaneh Yavari2Mehdi Mirzaee3Reza Saeedinia4Marjan Ghaemi5School of Medicine Alborz University of Medical Sciences Karaj IranDepartment of Obstetrics and Gynecology, Family Health Research Institute, Imam Khomeini Hospital Complex, Vali‐e‐Asr Hospital Tehran University of Medical Sciences Tehran IranVali‐E‐Asr Reproductive Health Research Center, Family Health Research Institute, Imam Khomeini Hospital Complex Tehran University of Medical Sciences Tehran IranVali‐E‐Asr Reproductive Health Research Center, Family Health Research Institute, Imam Khomeini Hospital Complex Tehran University of Medical Sciences Tehran IranVali‐E‐Asr Reproductive Health Research Center, Family Health Research Institute, Imam Khomeini Hospital Complex Tehran University of Medical Sciences Tehran IranVali‐E‐Asr Reproductive Health Research Center, Family Health Research Institute, Imam Khomeini Hospital Complex Tehran University of Medical Sciences Tehran IranABSTRACT This case report highlights the challenges of managing laryngospasm during emergency surgery for a ruptured ectopic pregnancy. Laryngospasm, a serious complication of anesthesia, causes involuntary laryngeal muscle contractions that obstruct the airway and can lead to hypoxemia, unconsciousness, or death if untreated. A 39‐year‐old obese woman presented with acute abdominal pain and symptoms of a ruptured ectopic pregnancy. During anesthesia induction, she experienced laryngospasm, complicating intubation and requiring the use of a laryngeal mask airway. Treatment with subcutaneous epinephrine, nebulized morphine, and aminophylline successfully restored her airway, allowing the surgery to proceed without further complications. This case emphasizes the importance of being prepared to manage laryngospasm, particularly in high‐risk patients with factors like obesity, emotional stress, or a history of asthma. It highlights the need for anesthesiologists to remain vigilant and respond swiftly to early signs of airway obstruction. The report underscores the value of teamwork and timely intervention in managing emergencies to ensure patient safety and prevent life‐threatening outcomes.https://doi.org/10.1002/ccr3.70297anesthesiaintubationlaryngospasmobesityruptured ectopic pregnancy
spellingShingle Banafsheh Mashak
Hawraa Shbeeb
Samaneh Yavari
Mehdi Mirzaee
Reza Saeedinia
Marjan Ghaemi
Laryngospasm During Anesthesia in Emergency Surgery for Ruptured Ectopic Pregnancy: A Case Report
Clinical Case Reports
anesthesia
intubation
laryngospasm
obesity
ruptured ectopic pregnancy
title Laryngospasm During Anesthesia in Emergency Surgery for Ruptured Ectopic Pregnancy: A Case Report
title_full Laryngospasm During Anesthesia in Emergency Surgery for Ruptured Ectopic Pregnancy: A Case Report
title_fullStr Laryngospasm During Anesthesia in Emergency Surgery for Ruptured Ectopic Pregnancy: A Case Report
title_full_unstemmed Laryngospasm During Anesthesia in Emergency Surgery for Ruptured Ectopic Pregnancy: A Case Report
title_short Laryngospasm During Anesthesia in Emergency Surgery for Ruptured Ectopic Pregnancy: A Case Report
title_sort laryngospasm during anesthesia in emergency surgery for ruptured ectopic pregnancy a case report
topic anesthesia
intubation
laryngospasm
obesity
ruptured ectopic pregnancy
url https://doi.org/10.1002/ccr3.70297
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