A Case of Pneumothorax after Phrenic Nerve Block with Guidance of a Nerve Stimulator.
10.3344/kjp.2011.24.2.105
- Author:
Serbulent Gokhan BEYAZ
1
;
Adnan TUFEK
;
Orhan TOKGOZ
;
Haktan KARAMAN
Author Information
1. Departmant of Anesthesia and Reanimation, Pain Medicine, Boztepe State Hospital of Ordu, Ordu, Turkey. sgbeyaz@gmail.com
- Publication Type:Case Report
- Keywords:
gastroesophageal reflux disease;
hiccup;
phrenic nerve;
pneumothorax;
stimulator
- MeSH:
Contracts;
Gastroesophageal Reflux;
Hiccup;
Humans;
Neck;
Phrenic Nerve;
Pneumothorax;
Thoracostomy
- From:The Korean Journal of Pain
2011;24(2):105-107
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hiccups have more than 100 etiologies. The most common etiology has gastrointestinal origins, related mainly to gastric distention and gastroesophageal reflux disease. Intractable hiccups are rare but may present as a severe symptom of various diseases. Hiccups are mostly treated with non-invasive or pharmacological therapies. If these therapies fail, invasive methods should be used. Here, we present a patient on whom we performed a blockage of the phrenic nerve with the guidance of a nerve stimulator. The patient also had pneumothorax as a complication. Three hours after intervention, a tube thoracostomy was performed. One week later, the patient was cured and discharged from the hospital. In conclusion, a stimulator provides the benefit of localizing the phrenic nerve, which leads to diaphragmatic contractions. Patients with thin necks have more risk of pneumothorax during phrenic nerve location.
