title: Recurrent persistent hiccups after epidural steroid injection and analgesia with bupivacaine.
abstract: This case report presents a patient who developed persistent hiccups after epidural administration of dilute bupivacaine on several different occasions. Substitution of saline for the dilute bupivacaine during epidural steroid injection did not result in hiccups; however, subsequent postoperative epidural analgesia with bupivacaine caused a recurrence of the hiccups.
authors.affiliation: Department of Anesthesiology, Scott and White Memorial Hospital and Clinic; Scott, Sherwood and Brindley Foundation; The Texas A&M University System Health Science Center College of Medicine; Temple, Texas.
authors.forename: Russell K
authors.initials: RK
authors.lastname: McAllister
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: McDavid
authors.forename: Tricia A
authors.initials: TA
authors.lastname: Meyer
authors.forename: Timothy M
authors.initials: TM
authors.lastname: Bittenbinder
mesh_terms: D000368:Aged; D015360:Analgesia, Epidural / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects*; D019645:Arthroplasty, Replacement, Knee; D002045:Bupivacaine / Q000008:administration & dosage / Q000009:adverse effects*; D002908:Chronic Disease; D006606:Hiccup / Q000139:chemically induced*; D006801:Humans; D008297:Male; D012008:Recurrence; D012086:Reoperation; D013130:Spinal Stenosis / Q000150:complications / Q000188:drug therapy; D013256:Steroids / Q000008:administration & dosage / Q000009:adverse effects*
chemical_list: D000779:Anesthetics, Local; D013256:Steroids; D002045:Bupivacaine