Advertisement

Termination of idiopathic persistent singultus (hiccup) with supra-supramaximal inspiration

      We read with considerable interest the recent report by Heymann describing a simple technique, the Heimlich Maneuver, for treatment of persistent hiccups (
      • Heymann W.R.
      The Heimlich maneuver for hiccups.
      ). The hiccup, or singultus, is an intense synchronized contraction of diaphragmatic and intercostal muscles lasting about 500 ms, followed 30 ms later by glottal closure, which creates characteristic dysphonia and discomfort (
      • Pearce J.M.S.
      A note on hiccups.
      ). Most cases are idiopathic in nature, although chronically disabling hiccups may also result from medullary lesions, classically near the nucleus solitarius. The vagus, glossopharyngeal and phrenic nerves are implicated in this phenomenon (
      • Kondoa T.
      • Toyookac H.
      • Arita H.
      Hiccup reflex is mediated by pharyngeal branch of glossopharyngeal nerve in cats.
      ).
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Heymann W.R.
        The Heimlich maneuver for hiccups.
        J Emerg Med. 2003; 25: 107-108
        • Pearce J.M.S.
        A note on hiccups.
        J Neurol Neurosurg Psychiatry. 2003; 74: 1070
        • Kondoa T.
        • Toyookac H.
        • Arita H.
        Hiccup reflex is mediated by pharyngeal branch of glossopharyngeal nerve in cats.
        Neurosci Res. 2003; 47: 317-321
        • Lierz P.
        • Felleiter P.
        Anesthesia as therapy for persistent hiccups.
        Anesth Analg. 2002; 95: 494-495
        • Morris L.G.
        • Marti J.L.
        • Ziff D.J.
        Treatment of idiopathic persistent singultus with supra-supramaximal inspiration.
        Anesth Analg. 2004; 99: 305-306

      Linked Article

      • Errata
        Journal of Emergency MedicineVol. 28Issue 1
        • Preview
          Morris LG, Marti JL, Ziff DJ. Termination of idiopathic persistent singultus (hiccup) with supra-supramaximal inspiration. J Emerg Med 2004;27(4):416–7.3
        • Full-Text
        • PDF