Recurrent inspiratory stridor in a case of psoriasis due to post operative laryngospasm after Hemarrhoidectomy

46 year old adult male , a case of chronic plaque psoriasis presented with grade III hemarrhoids and was posted for hemarrhoidectomy .Endotracheal general anaesthesia was preferred to central neuraxial blockade in this case and the course of surgery was uneventful .Patient was extubated at the end of the procedure. Laryngeal edema with recurrent laryngospasm was encountered in the postoperative period after tracheal extubation, which was successfully managed. Conduct of general anaesthesia for hemarrhoidectomy in this case has been elaborated. Laryngospasm - its cause , risk factors , modes of prevention , diagnosis and management have been reviewed . Anaesthetic implications in a case of psoriasis have been discussed .