alexa

GET THE APP

Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Ultrasound-guided Phrenic Nerve Block for Intractable Hiccups in Patients with Metastatic Colon Cancer: A Case Report | OMICS International | Abstract
ISSN: 2165-7386

Journal of Palliative Care & Medicine
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

Ultrasound-guided Phrenic Nerve Block for Intractable Hiccups in Patients with Metastatic Colon Cancer: A Case Report

Tiffani D Pittman*, Andra DiStephano, Robert Chow and Ron Samet

Department of Anesthesia, Acute Pain and Regional Anesthesia at University of Maryland, Baltimore, MD, USA

*Corresponding Author:
Tiffani D Pittman
Department of Anesthesia
Acute Pain and Regional Anesthesia at University of Maryland, Baltimore
MD, 22 South Greene Street S11CO, Baltimore, MD, 21201
Tel: 301-405-1000
E-mail: [email protected]

Received date: March 05, 2017; Accepted date: April 03, 2017; Published date: April 7, 2017

Citation: Pittman TD, DiStephano A, Chow R, Samet R (2017) Ultrasound-guided Phrenic Nerve Block for Intractable Hiccups in Patients with Metastatic Colon Cancer: A Case Report. J Palliat Care Med 7:302. doi: 10.4172/2165-7386.1000302

Copyright: © 2017 Pittman TD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Intractable hiccups can be a debilitating condition in cancer patients especially for those who have recently undergone thoracic or abdominal surgery and have tumor loads causing diaphragmatic irritation. The following case report details complete resolution of severe intractable hiccups due to an ultrasound guided phrenic nerve block in a patient with unresectable metastatic colon cancer. Ultrasound guided phrenic nerve block modification of the commonly performed interscalene brachial plexus may prove beneficial in relieving hiccups when medication therapy has failed or causes untoward side effects.

Keywords

Top