• A&A practice · Jun 2022

    Case Reports

    Effective Treatment of Intraoperative Hiccups With Chlorpromazine Under General Anesthesia Without Muscle Relaxants: A Case Report.

    • Kensuke Shimada, Ryota Inokuchi, Kota Tominaga, Satoshi Yagihashi, Masato Yamada, and Shunsuke Ishitsuka.
    • From the Department of Health Services Research, University of Tsukuba, Ibaraki, Japan.
    • A A Pract. 2022 Jun 1; 16 (6): e01597e01597.

    AbstractHiccups are common reflexes and many treatment methods have been reported. Chlorpromazine is a known treatment option for hiccups, but its efficacy under general anesthesia remains unclear. We report the case of a patient with vagal schwannoma who developed hiccups while under general anesthesia. Muscle relaxants were not used because the patient was under neuromonitoring. The depth of anesthesia was deepened; however, the hiccups did not disappear. The hiccups were relieved by intravenous chlorpromazine administration (total; 5 mg), which allowed for surgery under neuromonitoring. This case indicates that chlorpromazine may be effective to treat hiccups under general anesthesia.Copyright © 2022 International Anesthesia Research Society.

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