The Korean Journal of Pain

  • 제24권2호
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  • Pages.105-107
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  • 2011
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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A Case of Pneumothorax after Phrenic Nerve Block with Guidance of a Nerve Stimulator

  • Beyaz, Serbulent Gokhan (Departmant of Anesthesia and Reanimation, Pain Medicine, Boztepe State Hospital of Ordu) ;
  • Tufek, Adnan (Deparmant of Anesthesia and Reanimation, Dicle University Medical School) ;
  • Tokgoz, Orhan (Deparmant of Anesthesia and Reanimation, Dicle University Medical School) ;
  • Karaman, Haktan (Deparmant of Anesthesia and Reanimation, Dicle University Medical School)
  • 투고 : 2011.02.01
  • 심사 : 2011.05.06
  • 발행 : 2011.06.01
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초록

Hiccups have more than 100 etiologies. The most common etiology has gastrointestinal origins, related mainly to gastric distention and gastroesophageal reflux disease. Intractable hiccups are rare but may present as a severe symptom of various diseases. Hiccups are mostly treated with non-invasive or pharmacological therapies. If these therapies fail, invasive methods should be used. Here, we present a patient on whom we performed a blockage of the phrenic nerve with the guidance of a nerve stimulator. The patient also had pneumothorax as a complication. Three hours after intervention, a tube thoracostomy was performed. One week later, the patient was cured and discharged from the hospital. In conclusion, a stimulator provides the benefit of localizing the phrenic nerve, which leads to diaphragmatic contractions. Patients with thin necks have more risk of pneumothorax during phrenic nerve location.

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참고문헌

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피인용 문헌

  1. Reply to: Management of intraoperative hiccups with intravenous promethazine vol.30, pp.1, 2014, https://doi.org/10.4103/0970-9185.125724
  2. Dexmedetomidine suppresses intractable hiccup during anesthesia for cochlear implantation vol.31, pp.None, 2016, https://doi.org/10.1016/j.jclinane.2016.02.013