I have a question about a common problem that is usually just a nuisance, but occassionally a hindrance.
Hiccups post induction.
Probably 10% of my LMA patients exhibit hiccuping after induction. Usually settles down after a a few minutes. Extra propofol does not seem to obliterate it. And occassionally I have had the hiccups get worse and worse, rather than better and better, to the point where the patient eventually gets stridorous or spasmy (is that an adjective?).
Any ideas on how to minimise it?
My usual anesthetic for spont resp LMAs is midazolam about 1-3mg, fentanyl 25mcg, propofol 120-160mg for the avergae adult.
Hiccups post induction.
Probably 10% of my LMA patients exhibit hiccuping after induction. Usually settles down after a a few minutes. Extra propofol does not seem to obliterate it. And occassionally I have had the hiccups get worse and worse, rather than better and better, to the point where the patient eventually gets stridorous or spasmy (is that an adjective?).
Any ideas on how to minimise it?
My usual anesthetic for spont resp LMAs is midazolam about 1-3mg, fentanyl 25mcg, propofol 120-160mg for the avergae adult.