PMID: 2495506Feb 1, 1989Paper

Overcoming laryngospasm by electrical stimulation of the posterior cricoarytenoid muscle

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
J AvivH F Biller

Abstract

The intent of this study was to demonstrate that the technique of transmucosal electrical stimulation of laryngeal muscles may be of clinical use in airway management. Specifically, its ability to overcome laryngospasm was evaluated. Laryngospasm was induced in eight tracheotomized dogs by hyperventilating each dog, and then applying 0.1 M ammonia to the laryngeal mucosa while administering continuous positive airway pressure (CPAP). Laryngospasm was defined by steady apposition of the vocal cords, massive electromyographic activity in the laryngeal adductor muscles, absence of such activity in the posterior cricoarytenoid muscle (PCA), and intraglottic pressure greater than 80 mm Hg. Upon transmucosal application of 10 mAmp current to the PCA bilaterally, the vocal cords abducted for the duration of the stimulus. We theorize that overcoming laryngospasm by electrostimulation involves a reflexive inhibition of the laryngeal adductors. This study provides an objective model for laryngospasm, and demonstrates that electrical manipulation of the vocal cords may have clinical relevance.

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Citations

Nov 1, 1992·The Annals of Otology, Rhinology, and Laryngology·D A Silva, I Sanders
Jul 1, 1991·Journal of Clinical Anesthesia·W W BackusJ Askanazi
Sep 29, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Guillaume MichaudThomas M Hemmerling
Mar 1, 1990·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J E AvivH F Biller

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