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Related Experiment Videos

Persistent hiccups after attempted interscalene brachial plexus block.

J Rachel Homer1, Joanna M Davies, Laurie B Amundsen

  • 1Department of Anaesthesia, University Hospital Aintree, Lower Lane, Liverpool L9 7AL, United Kingdom. rachelhomer@doctors.org.uk

Regional Anesthesia and Pain Medicine
|December 6, 2005
PubMed
Summary
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Persistent hiccups occurred after an attempted interscalene brachial plexus block. This is the first reported case linking this complication to the procedure, resolving with medication.

Area of Science:

  • Anesthesiology
  • Neurology

Background:

  • Interscalene brachial plexus block is a common regional anesthesia technique for shoulder surgery.
  • Persistent hiccups are a rare but distressing post-operative complication with various potential causes.

Observation:

  • A 38-year-old male developed persistent hiccups following an attempted interscalene brachial plexus block and general anesthesia for shoulder repair.
  • The patient experienced severe shoulder pain without a discernible block, followed by intractable hiccups, nausea, and insomnia.

Findings:

  • The patient was treated with chlorpromazine and metoclopramide, with significant reduction in hiccup intensity and frequency.
  • Hiccups resolved completely within one day of discharge, and the patient remained symptom-free off medication.

Related Experiment Videos

Implications:

  • This case suggests a potential association between attempted interscalene brachial plexus blocks and persistent hiccups.
  • Further investigation may be warranted to understand the mechanism and incidence of this rare complication.