Hiccups in neurocritical care
Hiccups are usually self-limiting and benign but can be distressing when they become persistent or intractable and produce significant morbidity. In the intubated patients in neurocritical care, persistent hiccups may cause respiratory alkalosis and are also associated with an increased incidence of...
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
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The Korean Neurocritical Care Society
2021-06-01
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Series: | Journal of Neurocritical Care |
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Online Access: | http://e-jnc.org/upload/pdf/jnc-200018.pdf |
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author | Vanitha Rajagopalan Deep Sengupta Keshav Goyal Surya Kumar Dube Ashish Bindra Shweta Kedia |
author_facet | Vanitha Rajagopalan Deep Sengupta Keshav Goyal Surya Kumar Dube Ashish Bindra Shweta Kedia |
author_sort | Vanitha Rajagopalan |
collection | DOAJ |
description | Hiccups are usually self-limiting and benign but can be distressing when they become persistent or intractable and produce significant morbidity. In the intubated patients in neurocritical care, persistent hiccups may cause respiratory alkalosis and are also associated with an increased incidence of ventilator-associated pneumonia. Several pharmacological and nonpharmacological strategies have been devised for the treatment of persistent and intractable hiccups. The evidence to support or declare any intervention as harmful is scarce. In this review, we have presented the pathophysiology and workup, and a stepwise management protocol for intractable hiccups. |
first_indexed | 2024-04-12T07:18:40Z |
format | Article |
id | doaj.art-ce71f9310a2742f1a7c5bdde646637bf |
institution | Directory Open Access Journal |
issn | 2005-0348 2508-1349 |
language | English |
last_indexed | 2024-04-12T07:18:40Z |
publishDate | 2021-06-01 |
publisher | The Korean Neurocritical Care Society |
record_format | Article |
series | Journal of Neurocritical Care |
spelling | doaj.art-ce71f9310a2742f1a7c5bdde646637bf2022-12-22T03:42:23ZengThe Korean Neurocritical Care SocietyJournal of Neurocritical Care2005-03482508-13492021-06-01141182810.18700/jnc.200018338Hiccups in neurocritical careVanitha Rajagopalan0Deep Sengupta1Keshav Goyal2Surya Kumar Dube3Ashish Bindra4Shweta Kedia5 Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, IndiaHiccups are usually self-limiting and benign but can be distressing when they become persistent or intractable and produce significant morbidity. In the intubated patients in neurocritical care, persistent hiccups may cause respiratory alkalosis and are also associated with an increased incidence of ventilator-associated pneumonia. Several pharmacological and nonpharmacological strategies have been devised for the treatment of persistent and intractable hiccups. The evidence to support or declare any intervention as harmful is scarce. In this review, we have presented the pathophysiology and workup, and a stepwise management protocol for intractable hiccups.http://e-jnc.org/upload/pdf/jnc-200018.pdfhiccupintractable hiccupsneurocritical carepersistent hiccupsdrug therapy |
spellingShingle | Vanitha Rajagopalan Deep Sengupta Keshav Goyal Surya Kumar Dube Ashish Bindra Shweta Kedia Hiccups in neurocritical care Journal of Neurocritical Care hiccup intractable hiccups neurocritical care persistent hiccups drug therapy |
title | Hiccups in neurocritical care |
title_full | Hiccups in neurocritical care |
title_fullStr | Hiccups in neurocritical care |
title_full_unstemmed | Hiccups in neurocritical care |
title_short | Hiccups in neurocritical care |
title_sort | hiccups in neurocritical care |
topic | hiccup intractable hiccups neurocritical care persistent hiccups drug therapy |
url | http://e-jnc.org/upload/pdf/jnc-200018.pdf |
work_keys_str_mv | AT vanitharajagopalan hiccupsinneurocriticalcare AT deepsengupta hiccupsinneurocriticalcare AT keshavgoyal hiccupsinneurocriticalcare AT suryakumardube hiccupsinneurocriticalcare AT ashishbindra hiccupsinneurocriticalcare AT shwetakedia hiccupsinneurocriticalcare |