Given the emphasis on social distancing and the possibility of a resurgence of COVID-19, we aim to highlight the evidence and best practices to continue comprehensive and effective opioid management during remote patient interactions to maximize safety for patients and providers, with an emphasis on drug monitoring regimens, while remaining cognizant of the public health challenges at hand. "

No abstract

Hiccups are a common phenomenon experienced by many people and are usually short-lived with spontaneous resolution of symptoms. Certain anesthetic medications have been associated with the development of hiccups, though the underlying pathophysiology and reflex arcs remain poorly understood. We describe a patient who developed hiccups lasting 9 days following an orthopedic surgery and again developed hiccups during a subsequent surgery after only having received midazolam; flumazenil administration led to sustained cessation of his hiccup symptoms immediately.