1. Successful Treatment of Idiopathic, Intractable Hiccups With Prescriptive Positive Pressure Ventilation-A Case Report.
- Author
-
Rampersad D and Slaven J
- Subjects
- Humans, Male, Aged, Phrenic Nerve, Treatment Outcome, Hiccup therapy, Positive-Pressure Respiration, Nurse Anesthetists
- Abstract
A 65-year-old male patient presenting with idiopathic, intractable hiccups was to undergo bilateral thoracotomies for phrenic nerve stimulator placement but initially underwent a treatment utilizing the administration of prescriptive positive pressure ventilation as a less invasive treatment option and had successful resolution of hiccups. The patient's hiccups began after a prior hiatal hernia repair and was refractory to pharmacologic treatment and phrenic nerve blocks. Utilizing neuromuscular blockade for diaphragm paralysis and administering three vital capacity breaths to peak inspiratory pressures of 25 cm H2O via endotracheal tube, the patient had successful resolution of symptoms and further surgical intervention was not warranted., Competing Interests: Name: Delisa Rampersad, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Josh Slaven, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None.Informed consent was received from the patient., (Copyright © 2024 by the American Association of Nurse Anesthesiology.)
- Published
- 2024