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Updated: Feb 7, 2026

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Detrusor Underactivity Model in Rats by Conus Medullaris Transection
Published on: August 28, 2020
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Medullar impairment resolves hiccups.
Toshiro Obuchi1, Jun-Ichi Wakahara2, Naoyuki Fujimura3
1Department of Thoracic Surgery, St. Mary's Hospital, Kurume, Japan.
Journal of Thoracic Disease
|August 3, 2018
Summary
Elevating arterial blood (PaCO2) and venous blood (PvCO2) carbon dioxide levels to match during rebreathing stops hiccups. This finding supports previous research on CO2 levels and hiccup cessation.
Area of Science:
- Physiology
- Respiratory Medicine
- Neurology
Background:
- Previous research identified hiccup cessation with expiratory gas (EtCO2) and inspiratory gas (InspCO2) reaching ~50 mmHg.
- This study investigates precise arterial blood (PaCO2) and venous blood (PvCO2) carbon dioxide levels during rebreathing.
Purpose of the Study:
- To determine the exact PaCO2 and PvCO2 values at which hiccups cease during rebreathing.
- To provide further evidence for the role of CO2 levels in hiccup suppression.
Main Methods:
- A healthy volunteer performed a 20 L plastic bag rebreathing experiment.
- Measurements included SpO2, EtCO2, InspCO2, PaCO2, and PvCO2 at specific points during rebreathing.
Main Results:
- PaCO2 matched EtCO2 and InspCO2 when they became equal (P1).
- PaCO2, EtCO2, and InspCO2 increased at the same rate, reaching PvCO2 levels at 50 mmHg (P2).
- All measured CO2 levels converged and increased uniformly after P2.
Conclusions:
- Achieving equal PaCO2 and PvCO2 levels consistently stops hiccups.
- Significant alteration in the cerebellum-medulla balance is crucial for hiccup cessation, alongside CO2 level changes.
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