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Anesth Analg 2005;100:1834-1836
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000153016.82444.20

REGIONAL ANESTHESIA

Recurrent Persistent Hiccups After Epidural Steroid Injection and Analgesia with Bupivacaine

Russell K. McAllister, MD, Andrew J. McDavid, MD, Tricia A. Meyer, PharmD, and Timothy M. Bittenbinder, MD

Department of Anesthesiology, Scott and White Memorial Hospital and Clinic; Scott, Sherwood and Brindley Foundation; The Texas A&M University System Health Science Center College of Medicine; Temple, Texas

Address correspondence and reprint requests to Russell K. McAllister, MD, Department of Anesthesiology, Scott & White Memorial Hospital, 2401 South 31st Street, Temple, Texas 76508. Address e-mail to rmcallister{at}swmail.sw.org.

This case report presents a patient who developed persistent hiccups after epidural administration of dilute bupivacaine on several different occasions. Substitution of saline for the dilute bupivacaine during epidural steroid injection did not result in hiccups; however, subsequent postoperative epidural analgesia with bupivacaine caused a recurrence of the hiccups.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2005 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.