Hiccups during endoscopy
Started by VaporMD
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deleted171991
There is a simple and perfect solution to it, works like magic, and we should stop sharing it publicly.
Physicians should also stop writing professional books that are sold to non-physicians; it's like teaching thousands of midlevels at once how to replace a physician.
All the threads with professional advice on this forum should be in the private section. We are such stupid suckers.
Physicians should also stop writing professional books that are sold to non-physicians; it's like teaching thousands of midlevels at once how to replace a physician.
All the threads with professional advice on this forum should be in the private section. We are such stupid suckers.
Wowza! Haha- ok if this can be moved to the private thread please do so.
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deleted171991
Incorrect!
Really? The dude came to a forum for physicians, and asked a question with the goal of bettering his practice. So what if a CRNA reads it and learns your magical answer? If a CRNA calls you for help with this issue, are you going to make them close their eyes and turn around while you fix it? If a CRNA takes your job, knowledge from this forum won’t be the reason why.
BTW OP, small doses of haldol sometimes work well for this purpose. Not sure if this is the magical answer to which FFP was referring
BTW OP, small doses of haldol sometimes work well for this purpose. Not sure if this is the magical answer to which FFP was referring
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deleted162650
Sux
Arch Guillotti
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It can be since you are the OP. I don’t think it needs to be though.
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Good lord, this forum is going down the tubes. Answer the guys question and move on.
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deleted643396
Don’t tell the CRNAs, but the cure for hiccups is to duck beneath the stretcher then jump up suddenly and yell BOO! Works every time.
I give a 1-1.5 mg/kg bolus of lidocaine. But it doesn’t work like magic and sometimes they still keep going.
I’m always open to learn a better approach. Maybe it’s a trade secret?
No solo CRNA would want to touch my cases with a barge pole, so I’m not so worried about that. Maybe the “GI anesthesiologist” should though.
I’m always open to learn a better approach. Maybe it’s a trade secret?
No solo CRNA would want to touch my cases with a barge pole, so I’m not so worried about that. Maybe the “GI anesthesiologist” should though.
Don’t worry, we will make GI anesthesia a fellowship to try and keep the CRNAs out. No way they can keep up!
The magic bullet is obviously Pavulon.
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deleted87051
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deleted162650
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Thanks! What dose and route are you using?
Usually 1mg at a time, up to 5mg depending on the patient- 18yo dude can take 5mg no problem, little old lady wouldn’t give more than 1mg. Not sure what the dose response curve for hiccups looks like tho- ie if it doesn’t work above X dose, it isn’t going to work. Anyone else have experience using it for this purpose? TBH I’ve used it more for hiccups during LMA cases, but same idea
Pretty sure the magic FFP is referring to involves a reflex arc....
I personally wouldnt use haldol in an outpatient setting. The response is variable. At an outpatient endoscopy center, you re basically moving meat. Like 30 patients per day need to get undressed, scoped, recover back dressed and out the door. you dont need haldol getting in the way. Just give more propofol. The reason they hiccup during an upper egd is the endocopists blows air in the belly to distend it. YOu put too much air you get phrenic irritability. either that or they are light. In either case.. just give more propofol.
Nonpharmacologic Management of Acute Singultus (Hiccups)
What I use every time a patient develops hiccups, has worked without fail.
What I use every time a patient develops hiccups, has worked without fail.
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deleted171991
Getting warmer.
I don't use any medication. And I'm pretty sure I learned the technique on SDN.
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deleted171991
That's exactly it. Works like a charm, does not have to be a trumpet; can be a suction catheter, too. The faces of the GI people: priceless.
And yes, we should stop sharing this kind of tricks on the public Internet. Took me friggin' 5 years to learn about it. Glad to pass it on, just not to people fighting to replace us.
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Cool, thanks. Will definitely try this!
Of course that article is written by JBU.
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Ah, I remember it well, tachycardia and all.
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deleted171991
Tough luck. There is no reason for any anesthesiologist, anesthesia resident or medical student, to not be able to become a member of the private forum.
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Pardon my ignorance, who is JBU
John Brock-Utne.
Legendary Stanford clinician who wrote several interesting case based books on anesthesia full of pearls from top to bottom. Should be required reading. Hit up amazon and spend some of that PE account cash.
