From the Department of Health Services Research, University of Tsukuba, Ibaraki, Japan.
Department of Anesthesiology, Tsuchiura Kyodo General Hospital, Ibaraki, Japan.
A A Pract. 2022 Jun 20;16(6):e01597. doi: 10.1213/XAA.0000000000001597. eCollection 2022 Jun 1.
Hiccups are common reflexes and many treatment methods have been reported. Chlorpromazine is a known treatment option for hiccups, but its efficacy under general anesthesia remains unclear. We report the case of a patient with vagal schwannoma who developed hiccups while under general anesthesia. Muscle relaxants were not used because the patient was under neuromonitoring. The depth of anesthesia was deepened; however, the hiccups did not disappear. The hiccups were relieved by intravenous chlorpromazine administration (total; 5 mg), which allowed for surgery under neuromonitoring. This case indicates that chlorpromazine may be effective to treat hiccups under general anesthesia.
打嗝是常见的反射现象，已有多种治疗方法被报道。氯丙嗪是一种已知的打嗝治疗选择，但它在全身麻醉下的疗效尚不清楚。我们报告了一例在全身麻醉下出现打嗝的副神经节瘤患者。由于患者正在进行神经监测，因此未使用肌肉松弛剂。尽管加深了麻醉深度，但打嗝并未消失。静脉注射氯丙嗪（总量 5mg）缓解了打嗝，从而可以在神经监测下进行手术。本病例表明，氯丙嗪可能对全身麻醉下的打嗝有效。
