Treatment of Intractable Hiccups with Epidural Block and Stellate Ganglion Block
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- YAMAZAKI Yutaka
- Department of Anesthesiology, Takikawa Municipal Hospital
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- MIMURA Mitsuko
- Department of Anesthesiology, Takikawa Municipal Hospital
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- IWASAKI Fumi
- Department of Anesthesiology, Takikawa Municipal Hospital
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- HAZAMA Koji
- Department of Anesthesiology, Takikawa Municipal Hospital
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- NAMIKI Akiyoshi
- Department of Anesthesiology, Sapporo Medical University, School of Medicine
Bibliographic Information
- Other Title
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- 吃逆に対する神経ブロック治療
- シャックリ ニ タイスル シンケイ ブロック チリョウ
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Abstract
Intractable hiccups is defined as hiccups lasting more than 48 hours. Emergency treatment of intractable hiccups is divided into pharmacological and nonpharmacological management. It has been reported that nerve block therapy may be useful for stopping hiccups that are unresponsive to both physical maneuvers and drug therapy.<br>We treated seven patients who had intractable hiccups with cervical or thoracic epidural block, or stellate ganglion block (SGB). Of those seven patients, three patients had hiccups after upper abdominal surgery; two patients had hiccups that originated in the central nervous system and abdominal organ, respectively; and two patients had idiopathic hiccups. We were able to stop the intractable hiccups in six of seven (86 per cent) patients using epidural block or SGB, without any complication. The duration of treatment ranged from 1 to 60 days (average, 15 days). Epidural block or SGB inhibits the pathway of the hiccup reflex arc, including the phrenic nerve and the thoracic sympathetic chain. Our results indicate that an epidural block or SGB is a useful method for treating intractable hiccups.
Journal
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- Journal of Japan Society of Pain Clinicians
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Journal of Japan Society of Pain Clinicians 5 (4), 481-485, 1998
Japan Society of Pain Clinicians
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Details 詳細情報について
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- CRID
- 1390001204459796992
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- NII Article ID
- 10008586812
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- NII Book ID
- AN10440947
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- ISSN
- 18841791
- 13404903
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- NDL BIB ID
- 4589430
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed