Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Phrenic nerve block with ultrasound-guidance for treatment of hiccups: a case report | Kuusniemi and Pyylampi Journal of Medical Case Reports 2011 5 493 http content 5 1 493 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Phrenic nerve block with ultrasound-guidance for treatment of hiccups a case report Kristiina Kuusniemi and Ville Pyylampi Abstract Introduction Persistent hiccups can be more than a simple and short-lived nuisance and therefore sometimes call for serious consideration. Hiccupping episodes that last only a few minutes may be annoying but persistent hiccups may initiate many major complications. Case presentation A 72-year-old Caucasian man with spinal stenosis presented for L4-5 laminectomy under spinal anesthesia. The surgery and anesthesia as well as the perioperative period passed without any incident except for persistent postoperative hiccups not responding to conservative and pharmacological treatment. Hiccups resulted in a prolonged hospital stay as they lasted until the seventh postoperative day. On that day a right-sided ultrasound-guided phrenic nerve block with 5 ml of bupivacaine 5 mg ml with epinephrine was performed successfully with a single-injection technique. Ten minutes after the procedure the hiccups vanished and a partial sensomotoric block of his right shoulder developed. No adverse effect occurred our patient could be discharged on the same day and the hiccups did not return. Conclusion Ultrasound provides us with non-invasive information regarding anatomy and allows anesthesiologists to visualize needle insertion to identify the exact location of the injected solution and to avoid such structures as arteries or veins. As such this method should be actively utilized. In cases where both pharmacological and non-pharmacological treatments prove to be ineffective when treating persistent hiccups a single-shot ultrasound-guided technique should be considered before the patient becomes exhausted. Introduction Hiccups or singultus are caused by synchronous contractions of the .
