We read with considerable interest the recent report by Heymann describing a simple
technique, the Heimlich Maneuver, for treatment of persistent hiccups (
1
). 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 (
2
). 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 (
3
).To read this article in full you will need to make a payment
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References
- The Heimlich maneuver for hiccups.J Emerg Med. 2003; 25: 107-108
- A note on hiccups.J Neurol Neurosurg Psychiatry. 2003; 74: 1070
- Hiccup reflex is mediated by pharyngeal branch of glossopharyngeal nerve in cats.Neurosci Res. 2003; 47: 317-321
- Anesthesia as therapy for persistent hiccups.Anesth Analg. 2002; 95: 494-495
- Treatment of idiopathic persistent singultus with supra-supramaximal inspiration.Anesth Analg. 2004; 99: 305-306
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© 2004 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
