Vagal maneuvers - Revision history

Rossdonaldson1 at 16:38, 13 May 2021

2021-05-13T16:38:01Z

← Older revision		Revision as of 16:38, 13 May 2021
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	*Perform with caution in elderly patients and those with a history of cardiovascular or neurologic events, though the complication rate is low<ref>Lacerda, GC, et al. Complications related to carotid sinus massage in 502 ambulatory patients. Arq Bras Cardiol, 2009; 92(2)</ref>		*Perform with caution in elderly patients and those with a history of cardiovascular or neurologic events, though the complication rate is low<ref>Lacerda, GC, et al. Complications related to carotid sinus massage in 502 ambulatory patients. Arq Bras Cardiol, 2009; 92(2)</ref>

	===Reverse valsalva===		==Reverse valsalva==
	*First described in a 2020 case series from France by Gaudart, et al.<ref>Gaudart P, Cazes N, Simon K, Larger D, Deharo JC. The reverse vagal manoeuvre: A new tool for treatment of supraventricular tachycardia? Am J Emerg Med. 2021 Mar;41:66-69. doi: 10.1016/j.ajem.2020.12.061. Epub 2020 Dec 26. PMID: 33387931.</ref>		*First described in a 2020 case series from France by Gaudart, et al.<ref>Gaudart P, Cazes N, Simon K, Larger D, Deharo JC. The reverse vagal manoeuvre: A new tool for treatment of supraventricular tachycardia? Am J Emerg Med. 2021 Mar;41:66-69. doi: 10.1016/j.ajem.2020.12.061. Epub 2020 Dec 26. PMID: 33387931.</ref>
	*Initial data scant but promising with 10/11 cardioverting to normal sinus rhythm, including 4 who had failed the modified Valsalva maneuver		*Initial data scant but promising with 10/11 cardioverting to normal sinus rhythm, including 4 who had failed the modified Valsalva maneuver

	====Set-up====		===Set-up===
	*No assistant or items necessary		*No assistant or items necessary

	===~~=Steps=~~===		===Procedure===
	#Have the patient exhale completely in a sitting position		#Have the patient exhale completely in a sitting position
	#Pinch nose and close mouth tightly		#Pinch nose and close mouth tightly
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	<references/>		<references/>
	[[Category:Cardiology]]		[[Category:Cardiology]]
			[[Category:Procedures]]

Rossdonaldson1 at 16:35, 13 May 2021

2021-05-13T16:35:46Z

← Older revision		Revision as of 16:35, 13 May 2021
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	==~~=[[Reverse valsalva]]=~~==		==Carotid sinus massage==
	===~~=History=~~===		*Ideal duration of 15 seconds<ref>Appelboam, A, et al. Randomised Evaluation of modified Valsalva Effectiveness in Re-entrant Tachycardias (REVERT) study. BMJ, 2014; 4(3):e004525.</ref>
			*Auscultate to rule out bruits in carotid artery before performing
			*Perform ONE side at a time
			*Perform with caution in elderly patients and those with a history of cardiovascular or neurologic events, though the complication rate is low<ref>Lacerda, GC, et al. Complications related to carotid sinus massage in 502 ambulatory patients. Arq Bras Cardiol, 2009; 92(2)</ref>

			===Reverse valsalva===
	*First described in a 2020 case series from France by Gaudart, et al.<ref>Gaudart P, Cazes N, Simon K, Larger D, Deharo JC. The reverse vagal manoeuvre: A new tool for treatment of supraventricular tachycardia? Am J Emerg Med. 2021 Mar;41:66-69. doi: 10.1016/j.ajem.2020.12.061. Epub 2020 Dec 26. PMID: 33387931.</ref>		*First described in a 2020 case series from France by Gaudart, et al.<ref>Gaudart P, Cazes N, Simon K, Larger D, Deharo JC. The reverse vagal manoeuvre: A new tool for treatment of supraventricular tachycardia? Am J Emerg Med. 2021 Mar;41:66-69. doi: 10.1016/j.ajem.2020.12.061. Epub 2020 Dec 26. PMID: 33387931.</ref>
	*Initial data scant but promising with 10/11 cardioverting to normal sinus rhythm, including 4 who had failed the modified Valsalva maneuver		*Initial data scant but promising with 10/11 cardioverting to normal sinus rhythm, including 4 who had failed the modified Valsalva maneuver
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	====Steps====		====Steps====
	1) Have the patient exhale completely in a sitting position~~<br>~~		#Have the patient exhale completely in a sitting position
	2) Pinch nose and close mouth tightly~~<br>~~		#Pinch nose and close mouth tightly
	3) Attempt to inhale against resistance for 10 seconds~~<br>~~		#Attempt to inhale against resistance for 10 seconds

	~~==Carotid sinus massage==~~
	*Ideal duration of 15 seconds<ref>Appelboam, A, et al. Randomised Evaluation of modified Valsalva Effectiveness in Re-entrant Tachycardias (REVERT) study. BMJ, 2014; 4(3):e004525.</ref>
	*Auscultate to rule out bruits in carotid artery before performing
	*Perform ONE side at a time
	*Perform with caution in elderly patients and those with a history of cardiovascular or neurologic events, though the complication rate is low<ref>Lacerda, GC, et al. Complications related to carotid sinus massage in 502 ambulatory patients. Arq Bras Cardiol, 2009; 92(2)</ref>

	==Pediatrics==		==Pediatrics==

Jbutlermo: /* Reverse valsalva */

2021-05-09T09:55:48Z

Reverse valsalva

@@ Line 1: / Line 1: @@
-==Modified positional valsalva==
+===[[Reverse valsalva]]===
-{{Modified positional valsalva}}
+====History====
 ==Carotid sinus massage==

Rossdonaldson1: /* See Also */

2019-08-21T04:46:52Z

SLuckettG: /* Pediatrics */

2019-02-14T16:39:55Z

Pediatrics

← Older revision		Revision as of 16:39, 14 February 2019
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	==Pediatrics==		==Pediatrics==
	*Often successful with ice application to face		*Often successful with ice or ice-water application to face for at least 10 seconds (physiologically similar to mammalian diving reflex, and works best in infants up to 6 months of age)

	==See Also==		==See Also==

SLuckettG: /* Carotid sinus massage */

2019-02-14T16:35:23Z

Carotid sinus massage

← Older revision		Revision as of 16:35, 14 February 2019
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	*Auscultate to rule out bruits in carotid artery before performing		*Auscultate to rule out bruits in carotid artery before performing
	*Perform ONE side at a time		*Perform ONE side at a time
			*Perform with caution in elderly patients and those with a history of cardiovascular or neurologic events, though the complication rate is low<ref>Lacerda, GC, et al. Complications related to carotid sinus massage in 502 ambulatory patients. Arq Bras Cardiol, 2009; 92(2)</ref>

	==Pediatrics==		==Pediatrics==

Rossdonaldson1 at 16:03, 23 January 2017

2017-01-23T16:03:17Z

← Older revision		Revision as of 16:03, 23 January 2017
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			==Modified positional valsalva==
			{{Modified positional valsalva}}

	==Carotid sinus massage==		==Carotid sinus massage==
	*Ideal duration of 15 seconds<ref>Appelboam, A, et al. Randomised Evaluation of modified Valsalva Effectiveness in Re-entrant Tachycardias (REVERT) study. BMJ, 2014; 4(3):e004525.</ref>		*Ideal duration of 15 seconds<ref>Appelboam, A, et al. Randomised Evaluation of modified Valsalva Effectiveness in Re-entrant Tachycardias (REVERT) study. BMJ, 2014; 4(3):e004525.</ref>
	*Auscultate to rule out bruits in carotid artery before performing		*Auscultate to rule out bruits in carotid artery before performing
	*Perform ONE side at a time		*Perform ONE side at a time

	~~==Valsalva maneuver==~~
	*Ideal duration of 10 seconds

	==Pediatrics==		==Pediatrics==

Rossdonaldson1: Text replacement - "r/o" to "rule out"

2016-07-30T23:50:12Z

Text replacement - "r/o" to "rule out"

← Older revision		Revision as of 23:50, 30 July 2016
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	==Carotid sinus massage==		==Carotid sinus massage==
	*Ideal duration of 15 seconds<ref>Appelboam, A, et al. Randomised Evaluation of modified Valsalva Effectiveness in Re-entrant Tachycardias (REVERT) study. BMJ, 2014; 4(3):e004525.</ref>		*Ideal duration of 15 seconds<ref>Appelboam, A, et al. Randomised Evaluation of modified Valsalva Effectiveness in Re-entrant Tachycardias (REVERT) study. BMJ, 2014; 4(3):e004525.</ref>
	*Auscultate to ~~r/o~~ bruits in carotid artery before performing		*Auscultate to rule out bruits in carotid artery before performing
	*Perform ONE side at a time		*Perform ONE side at a time

Ostermayer: Text replacement - "Category:Cards" to "Category:Cardiology"

2016-03-22T13:54:09Z

Text replacement - "Category:Cards" to "Category:Cardiology"

← Older revision		Revision as of 13:54, 22 March 2016
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	==References==		==References==
	<references/>		<references/>
	[[Category:~~Cards~~]]		[[Category:Cardiology]]

Rossdonaldson1: /* See Also */

2015-05-06T05:17:27Z

← Older revision		Revision as of 04:46, 21 August 2019
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	==See Also==		==See Also==
	*[[SVT]]		*[[SVT]]

			==External Links==
			*https://www.medmastery.com/magazine/modified-valsalva-maneuver-video-review

	==References==		==References==
	<references/>		<references/>
	[[Category:Cardiology]]		[[Category:Cardiology]]

← Older revision		Revision as of 05:17, 6 May 2015
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	==See Also==		==See Also==
			*[[SVT]]

	==References==		==References==
	<references/>		<references/>
	[[Category:Cards]]		[[Category:Cards]]