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[Persistent intractable hiccup in the perioperative period]
Ursula Szibor-Kriesen1, Annette Devide, Alexander Hoetzel
1Klinik und Poliklinik für Anästhesiologie und Intensivtherapie an der Universität Rostock.
Summary
This case study details using Propofol to manage persistent hiccups in an awakening patient when Desflurane anesthesia failed. Propofol provided rapid recovery after successfully eliminating the hiccup.
Area of Science:
- Anesthesiology
- Neurology
Context:
- Hiccups can complicate patient recovery from anesthesia.
- Current therapeutic recommendations for hiccups lack strong evidence due to limited studies.
- Management strategies range from conservative measures to invasive procedures.
Purpose:
- To describe a successful intervention for persistent hiccups in a patient undergoing anesthesia.
- To evaluate the efficacy of Propofol in managing intraoperative hiccups.
Summary:
- A case of persistent hiccups during emergence from Desflurane anesthesia is presented.
- Deepening anesthesia with Desflurane was ineffective.
- Intravenous Propofol (1.3 mg/kg) was administered, successfully resolving the hiccups and allowing for rapid patient recovery.
Impact:
- Highlights Propofol as a potential therapeutic option for intractable hiccups during anesthesia.
- Suggests the need for further research into anesthetic agents for hiccup management.
- Emphasizes the challenges in evidence-based treatment for hiccups.
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