Inhibition of hiccups by the laryngeal mask airway

Baraka, Anis

doi:10.1111/j.1365-2044.2004.03924.x

Cited by 10 publications

(11 citation statements)

References 2 publications

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“…On the other hand, using anesthetic agents in surgery may be associated with hiccups. For example, propofol induction during anesthesia induced hiccups 38. Even an epidural anesthesia using bupivacaine led to repeated hiccup in a patient.…”

Section: Etiology Of Persistent and Intractable Hiccupsmentioning

confidence: 99%

“…The possible mechanism include restoration of normal phrenic nervous rhythms due to artificial and transient stoppage of respiration 3. In one patient, an inflated cuff of laryngeal mask airway was used to stimulate the pharynx opposite second cervical vertebra to inhibit hiccup during induction with propofol 38. Unfortunately, this procedure was also a trigger to induce hiccups commonly among some subjects 73.…”

Section: Etiology Of Persistent and Intractable Hiccupsmentioning

confidence: 99%

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Hiccup: Mystery, Nature and Treatment

Chang¹,

2012

J Neurogastroenterol Motil

161

173

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Hiccup is the sudden onset of erratic diaphragmatic and intercostal muscle contraction and immediately followed by laryngeal closure. The abrupt air rush into lungs elicits a "hic" sound. Hiccup is usually a self-limited disorder; however, when it is prolonged beyond 48 hours, it is considered persistent whereas episodes longer than 2 months are called intractable. A reflex arc involving peripheral phrenic, vagal and sympathetic pathways and central midbrain modulation is likely responsible for hiccup. Accordingly, any irritant in terms of physical/chemical factors, inflammation, neoplasia invading the arc leads to hiccups. The central causes of hiccup include stroke, space occupying lesions and injury etc, whereas peripheral causes include lesions along the arc such as tumors, myocardial ischemia, herpes infection, gastroesophageal reflux disease and applied instrumentations on human body etc. Besides, various drugs (eg, anti-parkinsonism drugs, anesthetic agents, steroids and chemotherapies etc) are the possible etiology. An effective treatment of persistent hiccup may be established upon the correct diagnosis of lesion responsible for the serious event. The pharmacotherapy of hiccup includes chlorpromazine, gabapentin, baclofen, serotonergic agonists, prokinetics and lidocaine. Non-pharmacological approaches such as nerve blockade, pacing, acupuncture and measures to hold breathing are also successful. Finally, alternative medicines and remedies are convenient to treat hiccups with uncertain effect. In conclusions, hiccup is likely to result from lesions involving the hiccup reflex arc. The lesion may need to be localized correctly for ablative treatment in patients with intractable hiccup. Apart from lesion ablation, drugs acting on reflex arc may be effective, while some other conventional measures may also be tried.

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Section: Etiology Of Persistent and Intractable Hiccupsmentioning

confidence: 99%

Section: Etiology Of Persistent and Intractable Hiccupsmentioning

confidence: 99%

Hiccup: Mystery, Nature and Treatment

Chang¹,

2012

J Neurogastroenterol Motil

161

173

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“…The use of supra glottis airways devices (laryngeal mask, LMA) has been advocated as a possible treatment for hiccup [19], even if 74/179 cases of hiccup after induction of anesthesia were trigged by LMA insertion [20]. Unfortunately, a LMA was not available at the time.…”

Section: Discussionmentioning

confidence: 99%

Hiccup-Like Response in a Dog Anesthetized with Isoflurane

Vettorato

Corletto

2016

Case Reports in Veterinary Medicine

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An eight-year-old, female intact Golden Retriever underwent magnetic resonance imaging (MRI) for investigation of urinary and faecal incontinence. Soon after induction of general anesthesia, tracheal intubation, and isoflurane administration, hiccup-like movements were evident. These hiccup-like movements did not respond to hyperventilation and increase of anesthetic. After having ruled out pulmonary disease, the animal was reanesthetized with a similar technique; hiccup-like movements reoccurred and did not stop after discontinuation of isoflurane and commencement of a propofol infusion. Eventually, a nondepolarizing neuromuscular blocking agent was administered to stop the hiccup-like response and allow MRI to be performed. This case report describes the pathophysiology of hiccup-like response and its management in a dog.

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“…Surgeries in thorax and abdomen often lead to hiccups in the postoperative period probably due to gastroparesis [43]. Anesthetic drugs like propofol induced hiccups [44]. Hiccups following epidural anesthesia have been reported with possible mechanism of action being deafferentation of sensory nerves in the viscera coupled with increased diaphragmatic stimulation secondary to interruption of phrenic nerve motor reflex [45,46].…”

Section: Hiccups Under Anesthesiamentioning

confidence: 99%

Hiccups in neurocritical care

et al. 2021

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Hiccup or hiccough is known by the medical term "singultus," which is a derivative of the Latin word "singult, " meaning "a gasp" or "a sob" [1]. Hiccups are characterized by involuntary, intermittent, repetitive, myoclonic, and spasmodic contractions of the diaphragm and the inspiratory intercostal muscles, leading to an abrupt and early closure of the glottis, terminating inspiration and generating the characteristic "hic" sound [2,3]. Both healthy adults and children commonly experience hiccup spells. In the fetus, hiccups play a physiological role by training the respiratory muscles for their breathing function, and as a reflex preventing amniotic fluid aspiration [4,5]. Transient episodes usually do not

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Inhibition of hiccups by the laryngeal mask airway

Cited by 10 publications

References 2 publications

Hiccup: Mystery, Nature and Treatment

Hiccup: Mystery, Nature and Treatment

Hiccup-Like Response in a Dog Anesthetized with Isoflurane

Hiccups in neurocritical care

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