Ultrasound-guided phrenic nerve block for intraoperative persistent hiccups: a case report

Continuous hiccups during surgery not only affect the surgical procedure, they can also cause adverse effects for the patient. Apart from active investigation of the cause of the hiccups, their timely termination is also necessary. We reported a case of a 70-year-old woman with continuous intraopera...

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Bibliographic Details
Published in:BMC anesthesiology 2018-09, Vol.18 (1), p.123-123, Article 123
Main Authors: Zhang, Yong, Duan, Fuhong, Ma, Wuhua
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesiology
Carbon dioxide
Care and treatment
Case Report
Case reports
Case studies
Chlorpromazine
Complications
Health aspects
Hiccup
Hiccups
Hospitals
Hysterectomy
Inhalation
Instrumentation industry
Intravenous administration
Nerve block
Pain
Phrenic nerve
Respiration
Surgery
Ultrasonic imaging
Ultrasonic waves
Ultrasound
Ultrasound-guided
Vagina
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Summary:Continuous hiccups during surgery not only affect the surgical procedure, they can also cause adverse effects for the patient. Apart from active investigation of the cause of the hiccups, their timely termination is also necessary. We reported a case of a 70-year-old woman with continuous intraoperative hiccups that appeared during vaginal hysterectomy under low continuous epidural anesthesia. After the ineffectiveness CO repeated inhalation and intravenous administration of chlorpromazine and methoxychlorpromide, we performed unilateral phrenic nerve block under ultrasound guidance. Hiccups were terminated without any related complications. During intraoperative continuous hiccups, ultrasound guided phrenic nerve block may be a suitable treatment option when physical methods and drug therapy are not effective. However, given the absence of a vital risk related to hiccups, this block should imply the complete absence of any respiratory contraindication and a prolonged postoperative respiratory monitoring.
ISSN:1471-2253
1471-2253
DOI:10.1186/s12871-018-0589-2