Bilateral Phrenic Nerve Block For the Treatment of Intractable Hiccup in a Palliative Care Patient: A Case Report

Bilateral Phrenic Nerve Block For the Treatment of Intractable Hiccup in a Palliative Care Patient: A Case Report

Hiccup is the characteristic voice caused by the sudden closure of the glottis during the contraction of the muscles of respiration especially diaphragm. It usually ends spontaneously in a short time. If it lasts more than one month, it is called as intractable hiccup. Intractable hiccups may lead t...

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Bibliographic Details
Published in:Bezmialem science Vol. 7; no. 3; pp. 247 - 250
Main Authors: SÜREN, Mustafa, KÖLÜKÇÜ, Vildan, ADATEPE, Selim, DOĞRU, Serkan, AKBAŞ, Ahmet, OKAN, İsmail
Format: Journal Article
Language:English
Published: Istanbul Galenos Yayınevi 01-07-2019
Galenos Publishing House
Subjects:
Anesthesia
Cardiac arrhythmia
Case reports
Dopamine
Esophageal diseases
Esophagus
Fatigue
Hiccup
Hypoxia
Insomnia
Malnutrition
Palliative care
Patients
phrenic nerve block
Physiology
Quality of life
Respiration
Silicon
Sleep
Tıp
Tomography
Ultrasonic imaging
Vomiting
İstanbul
Türkiye
esophageal diseases
phrenic nerve block
Hiccup
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Summary:Hiccup is the characteristic voice caused by the sudden closure of the glottis during the contraction of the muscles of respiration especially diaphragm. It usually ends spontaneously in a short time. If it lasts more than one month, it is called as intractable hiccup. Intractable hiccups may lead to malnutrition, hypoxia, arrhythmia, dehydration, depression, tiredness and sleep disorder. Those can affect the quality of life of the patient. It is reported that pharmacologic agents such as gamma-aminobutyric acid receptor agonists, dopamine antagonists, antipsychotics and baclofen may be beneficial in the treatment of intractable hiccups. If success is not achieved with these methods, invasive methods such as phrenic nerve block, regional anesthesia, and phrenic nerve pulse radiofrequency may be applied as alternative therapies. In this case report, it is aimed to present the medical management of a palliative care patient with intractable hiccup. A 55-year-old male patient underwent gastrectomy and distal esophagectomy due to esophagogastric junction tumor. He suffered from intractable hiccup after esophageal hematoma. Bilateral phrenic nerve block was performed; hence no recovery was achieved after five weeks of medical treatment. Most of his complaint about hiccup was recovered after phrenic nerve block.
ISSN:2148-2373
2148-2373
DOI:10.14235/bas.galenos.2018.2111