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Intraoperative Laryngeal Mask Airway-Related Hiccup: An Overview
Journal article   Open access

Intraoperative Laryngeal Mask Airway-Related Hiccup: An Overview

Johann Mathew, Shiqian Shen and Henry Liu
Translational perioperative and pain medicine, v 7(1), pp 145-151
2020
DOI: https://doi.org/10.31480/2330-4871/103
PMID: 33869664
url
https://doi.org/10.31480/2330-4871/103View
Published, Version of Record (VoR) Open

Abstract

Laryngeal mask airway COPA Singultus iGel Hiccup
Hiccup is an involuntary contraction of the diaphragm and intercostal muscles resulting in sudden inspiration and closure of the glottis. The presence of hiccup in the perioperative period can be a challenging problem. Sudden movements of the patient from hiccups can interfere preoperative diagnostic procedures, intraoperative hiccup may delay the beginning of surgery, interfere with the surgical process, and affect intraoperative monitoring, and postoperative hiccup may affect would healing and hemodynamic stability. Hiccup can lead to have increased aspiration risk. Hiccup are is an incompletely understood phenomenon with multiple etiologies. Intraoperative hiccup related to laryngeal mask airway placement has been reported, and it presents unique challenges in diagnosis and management. Both pharmacological and non-pharmacological interventions have been utilized with various level of success. All treatment strategies are primarily aimed at interrupting the hiccup reflex arc.

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