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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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