Treatment of intractable hiccups using combined cervical vagus nerve and phrenic nerve blocks ultrasound guidance

2021 ◽  
Author(s):  
Wen-Yi Gong ◽  
Na Li ◽  
Jun Chen ◽  
Xiao-Yuan Qi ◽  
Kun Fan
Keyword(s):  
Vagus Nerve ◽  
Phrenic Nerve ◽  
Ultrasound Guidance ◽  
Nerve Blocks ◽  
Intractable Hiccups

Vagus nerve stimulation for chronic intractable hiccups

2005 ◽  
Vol 102 (5) ◽  
pp. 935-937 ◽  
Author(s):  
Bryan Rankin Payne ◽  
Robert Lyons Tiel ◽  
Mary Say Payne ◽  
Bruce Fisch
Keyword(s):  
Vagus Nerve ◽  
Phrenic Nerve ◽  
Surgical Intervention ◽  
Underlying Disease ◽  
Nerve Stimulator ◽  
Literature Cite ◽  
Initial Management ◽  
Content Type ◽  
Vagus Nerve Stimulator ◽  
Intractable Hiccups

✓ Intractable hiccups are debilitating and usually a result of some underlying disease. Initial management includes vagal maneuvers and pharmacotherapy. When hiccups persist despite medical therapy, surgical intervention rarely is pursued. Cases described in the literature cite successful phrenic nerve blockade, crush injury, or percutaneous phrenic nerve pacing. The authors report on a case of intractable hiccups occurring after a posterior fossa stroke. Complete resolution of the spasms has been achieved to date following the placement of a vagus nerve stimulator.

scholarly journals A case report of Vagus nerve stimulation for intractable hiccups

2021 ◽  
Vol 78 ◽  
pp. 219-222
Author(s):  
Kanza Tariq ◽  
Joe M. Das ◽  
Sasha Monaghan ◽  
Anna Miserocchi ◽  
Andrew McEvoy
Keyword(s):  
Case Report ◽  
Vagus Nerve ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Intractable Hiccups

scholarly journals Subparaneural injection in popliteal sciatic nerve blocks evaluated by MRI

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 346-353
Author(s):  
Benedikt Büttner ◽  
Alexander Schwarz ◽  
Caspar Mewes ◽  
Katalin Kristof ◽  
José Hinz ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Local Anesthetic ◽  
Ultrasound Guidance ◽  
Resonance Imaging ◽  
Nerve Blocks ◽  
Cross Sectional ◽  
Neurological Sequelae ◽  
Patient Reported ◽  
Study Population ◽  
Intraneural Injection

AbstractIntraneural injection of a local anesthetic can damage the nerve, yet it occurs frequently during distal sciatic block with no neurological sequelae. This has led to a controversy about the optimal needle tip placement that results from the particular anatomy of the sciatic nerve with its paraneural sheath.The study population included patients undergoing lower extremity surgery under popliteal sciatic nerve block. Ultrasound-guidance was used to position the needle tip subparaneurally and to monitor the injection of the local anesthetic. Sonography and magnetic resonance imaging were used to assess the extent of the subparaneural injection.Twenty-two patients participated. The median sciatic cross-sectional area increased from 57.8 mm2 pre-block to 110.8 mm2 immediately post-block. An intraneural injection according to the current definition was seen in 21 patients. Two patients had sonographic evidence of an intrafascicular injection, which was confirmed by MRI in one patient (the other patient refused further examinations). No patient reported any neurological symptoms.A subparaneural injection in the popliteal segment of the distal sciatic nerve is actually rarely intraneural, i.e. intrafascicular. This may explain the discrepancy between the conventional sonographic evidence of an intraneural injection and the lack of neurological sequelae.

scholarly journals Vagus nerve and phrenic nerve guided systematic nodal dissection for lung cancer

2019 ◽  
Vol 11 (9) ◽  
pp. 4021-4027 ◽  
Author(s):  
Zhenguo Liu ◽  
Yao Liu ◽  
Chunying Xie ◽  
Jiali Yang ◽  
Bo Zeng ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Vagus Nerve ◽  
Phrenic Nerve ◽  
Nodal Dissection ◽  
Systematic Nodal Dissection

Regional anaesthesia of the upper limb

2017 ◽  
Author(s):  
Colin J. L. McCartney ◽  
Alan J. R. Macfarlane
Keyword(s):  
Peripheral Nerve ◽  
Upper Limb ◽  
Regional Anaesthesia ◽  
Ultrasound Guidance ◽  
Nerve Supply ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Traditional Approaches ◽  
Indications And Complications

Peripheral nerve blocks of the upper limb can provide excellent anaesthesia and postoperative analgesia. A variety of well-established traditional approaches to the brachial plexus exist, namely interscalene, supraclavicular, infraclavicular, and axillary techniques. Individual terminal nerves such as the median, radial, ulnar, and other smaller nerves can also be blocked more distally. The traditional and ultrasound-guided approach to each of these nerve blocks is discussed in turn in this chapter, along with specific indications and complications. The introduction of ultrasound guidance has generated significant excitement in this field in the last 10 years and has been demonstrated to improve efficacy and reduce complications. However, a sound knowledge of anatomy of the nerve supply to the upper limb remains essential during any upper limb regional anaesthesia technique.

Ultrasound guidance for peripheral nerve blocks: an observational trend study of national data

2020 ◽  
Vol 45 (9) ◽  
pp. 681-683
Author(s):  
Stephen C Haskins ◽  
Megan Fiasconaro ◽  
Lauren Wilson ◽  
Jashvant Poeran ◽  
Jiabin Liu ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Ultrasound Guidance ◽  
National Data ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Trend Study

Stimulation of the phrenic nerve as a complication of vagus nerve pacing in a patient with epilepsy

Neurology ◽  
1998 ◽  
Vol 51 (4) ◽  
pp. 1224-1225 ◽  
Author(s):  
F. S.S. Leijten ◽  
P. C. Van Rijen
Keyword(s):  
Vagus Nerve ◽  
Phrenic Nerve ◽  
Stimulation Of

scholarly journals Challenges in the Diagnosis and Treatment of Hiccup in Neurological Patients

2018 ◽  
Vol 26 (2) ◽  
pp. 134-138
Author(s):  
Nícollas Nunes Rabelo ◽  
Daniel Alves Branco Valli ◽  
Igor De Souza Furtado ◽  
Luciano José Silveira Filho ◽  
Vitor Hugo Honorato Pereira ◽  
...  
Keyword(s):  
Lung Cancer ◽  
General Population ◽  
Gastroesophageal Reflux ◽  
Literature Review ◽  
Phrenic Nerve ◽  
Treatment Protocol ◽  
Diagnosis And Treatment ◽  
Neurological Patients ◽  
Intractable Hiccups ◽  
Stimulation Of

Hiccup is a prevalent event in the general population and can be found from milder, (so-called benign) to persistent and intractable forms. Hiccups have several causes, but stimulation of the phrenic nerve with compression, deformation and traction are among the most prevalent which could be consequence of mediastinal or lung cancer, gastric and/or esophageal distention, gastroesophageal reflux, instruments (catheters and intubation), cholecystitis, pericarditis or neurological causes. The objective of this paper is to stablish one treatment protocol and hiccup treatment in acute, persistent and intractable stages. A literature review was performed at Scielo, Pubmed, Ebsco, Clin Neuropharmacol, and ScienceDirect databases. Articles and publications from 1970 to 2015 were selected. The relevance of this article is the challenge for diagnostic and the difficulty to stablish the best plan to be addressed in cases of persistent or intractable hiccups in neurological patients, since they probably have many causes.

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