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...

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Main Authors: Vanitha Rajagopalan, Deep Sengupta, Keshav Goyal, Surya Kumar Dube, Ashish Bindra, Shweta Kedia
Format: Article
Language:English
Published: The Korean Neurocritical Care Society 2021-06-01
Series:Journal of Neurocritical Care
Subjects:
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.
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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
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AT ashishbindra hiccupsinneurocriticalcare
AT shwetakedia hiccupsinneurocriticalcare