Abstract:
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.
摘要:
打嗝是常见的反射,已经报道了许多治疗方法。氯丙嗪是打嗝的已知治疗选择,但其在全身麻醉下的疗效尚不清楚。我们报告了一名在全身麻醉下发生打嗝的迷走神经鞘瘤患者的病例。未使用肌肉松弛剂,因为患者正在接受神经监测。麻醉的深度加深了;然而,打嗝并没有消失。通过静脉注射氯丙嗪(总剂量;5mg)缓解打嗝,允许在神经监测下进行手术。这种情况表明氯丙嗪可能对全身麻醉下的打嗝有效。