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Valsalva Maneuver

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61. Valsalva Maneuver

Valsalva Maneuver Valsalva Maneuver Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Valsalva Maneuver Valsalva Maneuver Aka: Valsalva (...) Maneuver , Valsalva's Maneuver , Modified Valsalva Maneuver II. Technique Forceful expiration against a closed mouth and nose III. Physiology Increases intrathoracic pressure Briefly (<3-5 seconds) results in mildly increased Decreases venous return After first 3-5 seconds, results in fall in , and typically drop in IV. Indications Pressure equalization of nose and sinuses Examples: Drop in altitude in plane flight or increased external pressure in diving Other maneuvers are preferred (yawning

2015 FP Notebook

62. The Association of Valsalva Status With Smoking and Its Impact on Ossiculoplasty Outcomes and Complications. (PubMed)

The Association of Valsalva Status With Smoking and Its Impact on Ossiculoplasty Outcomes and Complications. To assess the association of a patient's ability to perform a clinically observed Valsalva maneuver with tobacco smoking and post-ossiculoplasty outcomes.Case series with chart review.Tertiary referral, university-based otology practice.Adult patients (16-88 years of age) undergoing ossiculoplasty with tympanoplasty or tympanomastoidectomy using cartilage tympanic membrane grafts (...) with the Valsalva maneuver (p = 0.557). An insignificant difference in final pure-tone average air-bone gap (PTA-ABG) was observed between the Val and Val groups (20.2 dB HL versus 18.2 dB HL, respectively; p = 0.152). Similarly, the rate of successful PTA-ABG closure to ≤20 dB HL was not significantly different between the groups (62.5% [80 of 128] of Val patients and 56.8% [54 of 95] of Val patients [p = 0.394]). Postoperative complications were seen with a higher frequency in the Val patients (16.8% [16

2016 Otology and Neurotology

63. Leak point pressure at different bladder volumes in stress urinary incontinence in women: Comparison between Valsalva and cough-induced leak point pressure (PubMed)

(25.4%) patients, respectively. Mean CLPP was higher than VLPP (p=0.002) at every bladder volume. VLPP and CLPP were significantly decreased by the increase of bladder volume (p=0.001). The mean first positive LPPs were significantly lower at higher Stamey grade (p=0.004).LPP is more frequently induced by cough than by the Valsalva maneuver. VLPP and CLPP decreased significantly with bladder filling and those with severe symptoms of SUI are more likely to have low LPP. (...) Leak point pressure at different bladder volumes in stress urinary incontinence in women: Comparison between Valsalva and cough-induced leak point pressure We compared Valsalva leak point pressure (VLPP) in urodynamically proven stress urinary incontinence (SUI) in women at different bladder volumes; examined the relationship between VLPP and cough-induced leak point pressure (CLPP) compared by incontinence severity; and evaluated the influence of bladder volume on each leak point pressure (LPP

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2016 Canadian Urological Association Journal

64. Intraoperative optical coherence tomography guided removal of premacular hemorrhage in Valsalva retinopathy (PubMed)

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. Kumar Atul A Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. eng Case Reports Journal Article India Indian J Ophthalmol 0405376 0301-4738 IM Adult Humans Macula Lutea pathology Male Retinal Hemorrhage diagnosis surgery Surgery, Computer-Assisted methods Tomography, Optical Coherence methods Valsalva Maneuver Vitrectomy (...) Intraoperative optical coherence tomography guided removal of premacular hemorrhage in Valsalva retinopathy 27609167 2017 08 09 2018 11 13 1998-3689 64 7 2016 Jul Indian journal of ophthalmology Indian J Ophthalmol Intraoperative optical coherence tomography guided removal of premacular hemorrhage in Valsalva retinopathy. 530-1 10.4103/0301-4738.190151 Kumar Vinod V Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. Chandra Parijat P

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2016 Indian journal of ophthalmology

65. Efficacy of the valsalva maneuver on needle projection pain and hemodynamic responses during spinal puncture. (PubMed)

Efficacy of the valsalva maneuver on needle projection pain and hemodynamic responses during spinal puncture. This study evaluated the efficacy of the valsalva maneuver that can induce baroreceptor activation and nociception, on needle projection pain and hemodynamic responses associated with spinal puncture. Ninety adults, ASA physical status I and II undergoing elective surgeries were included. Patients were randomized into three equal groups. Group I (C): control; Group II (B): ball; pressed (...) in NRS was observed in the valsalva group compared with the control and the ball groups (p=0.001). There were statistical but no significant clinical differences in mean arterial blood pressure and heart rates between the study groups (P=0.008 and P=0.016 respectively). In conclusion valsalva maneuver can decrease the skin puncture pain associated with spinal needle projection while observing hemodynamic changes.

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2011 International journal of medical sciences

66. Failure to unmask pseudonormal diastolic function by a valsalva maneuver: tricuspid insufficiency is a major factor. (PubMed)

Failure to unmask pseudonormal diastolic function by a valsalva maneuver: tricuspid insufficiency is a major factor. For the clinical assessment of patients with dyspnea, the inversion of the early (E) and late (A) transmitral flow during Valsalva maneuver (VM) frequently helps to distinguish pseudonormal from normal filling pattern. However, in an important number of patients, VM fails to reveal the change from dominant early mitral flow velocity toward larger late velocity.From December 2009

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2011 Circulation. Cardiovascular imaging

67. Cardiovascular responses to passive static flexibility exercises are influenced by the stretched muscle mass and the Valsalva maneuver (PubMed)

Cardiovascular responses to passive static flexibility exercises are influenced by the stretched muscle mass and the Valsalva maneuver The respiratory pattern is often modified or even blocked during flexibility exercises, but little is known about the cardiovascular response to concomitant stretching and the Valsalva maneuver (VM) in healthy subjects.This study evaluated the heart rate (HR), systolic blood pressure (SBP), and rate-pressure product (RPP) during and after large and small muscle

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2011 Clinics

68. Assessment of sympathetic index from the Valsalva maneuver. (PubMed)

Assessment of sympathetic index from the Valsalva maneuver. Blood pressure (BP) decline and recovery during the Valsalva maneuver (VM) are used to evaluate the degree of sympathetic failure (SF) but a reliable sympathetic index (SI) derived from VM is lacking.Patients with mild (n=20), moderate (n=65), and severe (n=60) SF and 23 healthy controls were evaluated using a standardized battery of autonomic tests. SF was defined as mild (associated with reduced sudomotor volumes at distal leg

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2011 Neurology

69. Baroreceptor reflex during forced expiratory maneuvers in individuals with chronic spinal cord injury (PubMed)

in individuals with SCI affect their ability to perform the Valsalva maneuver, and to determine if a sustained Maximum Expiratory Pressure (MEP) effort can serve as an acceptable maneuver for determination of the BS in the event that the Valsalva maneuver cannot be performed. The BS outcomes (ms/mmHg) were obtained using continuous beat-to-beat arterial blood pressure (BP) and heart rate (HR) recordings during Valsalva or MEP maneuvers in thirty nine individuals with chronic C3-T12 SCI. Twenty one (...) participants (54%) reported signs of intolerance during the Valsalva maneuver and only 15 individuals (39%) were able to complete this task. Cervical level of injury was a significant risk factor (p=0.001) for failing to complete the Valsalva maneuver, and motor-complete injury was a significant risk factor for symptoms of intolerance (p=0.04). Twenty eight participants (72%) were able to perform the MEP maneuver; the other 11 participants failed to exceed the standard airway pressure threshold of 27cm H2O

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2016 Respiratory physiology & neurobiology

70. Novel vagal maneuver technique for termination of supraventricular tachycardias. (PubMed)

Novel vagal maneuver technique for termination of supraventricular tachycardias. Hemodynamically unstable patients with supraventricular tachycardias (SVTs) should be treated with electrical cardioversion. If the patient is stable, acute termination of tachycardia can be achieved by vagal maneuvers or medical therapy. The Valsalva maneuver, carotid massage, and ice to the face are the most common vagal maneuvers. In our experience with patients, we observed that vagal stimulation increases (...) with lying backward. Our suggested maneuver is based on quickly lying backward, from a seated position. Then, a short and powerful vagal stimulation occurs. Thus, SVT episodes can be terminated. Here we present our experience of a new maneuver for terminating SVT, with cases.

2016 American Journal of Emergency Medicine

71. The hemodynamic effect of acute blood loss in normal man, with observations on the effect of the Valsalva maneuver and breath holding. (PubMed)

The hemodynamic effect of acute blood loss in normal man, with observations on the effect of the Valsalva maneuver and breath holding. 6057082 1968 01 12 2018 11 13 0003-4932 166 5 1967 Nov Annals of surgery Ann. Surg. The hemodynamic effect of acute blood loss in normal man, with observations on the effect of the Valsalva maneuver and breath holding. 713-38 Skillman J J JJ Olson J E JE Lyons J H JH Moore F D FD eng Journal Article United States Ann Surg 0372354 0003-4932 AIM IM S Adult (...) Arteries Blood Circulation Blood Pressure Blood Volume Cardiac Output Electrocardiography Exchange Transfusion, Whole Blood Hemodynamics physiology Hemorrhage physiopathology Humans Male Pulse Respiration Valsalva Maneuver Vascular Resistance Veins 68043749 1967 11 1 1967 11 1 0 1 1967 11 1 0 0 ppublish 6057082 PMC1477490 Acta Neuroveg (Wien). 1960;22:1-13 13785991 J Clin Invest. 1945 May;24(3):326-31 16695219 J Appl Physiol. 1953 Mar;5(9):495-507 13034677 Am J Med. 1957 Feb;22(2):197-212 13402769

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1967 Annals of Surgery

72. Standing Valsalva maneuver in idiopathic hypertrophic subaortic stenosis. (PubMed)

Standing Valsalva maneuver in idiopathic hypertrophic subaortic stenosis. 566155 1978 08 14 2018 11 13 0008-4409 118 6 1978 Mar 18 Canadian Medical Association journal Can Med Assoc J Standing Valsalva maneuver in idiopathic hypertrophic subaortic stenosis. 683-4 Levene D L DL Naqvi S Z SZ Shane S J SJ eng Case Reports Journal Article Canada Can Med Assoc J 0414110 0008-4409 AIM IM Adult Aortic Stenosis, Subvalvular diagnosis Cardiomyopathy, Hypertrophic diagnosis Humans Male Posture Valsalva (...) Maneuver 1978 3 18 1978 3 18 0 1 1978 3 18 0 0 ppublish 566155 PMC1818049 Am J Cardiol. 1976 Jan;37(1):89-92 942679

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1978 Canadian Medical Association Journal

73. The Valsalva Maneuver: An Aid for the Contrast Visualization of the Aorta and Great Vessels (PubMed)

The Valsalva Maneuver: An Aid for the Contrast Visualization of the Aorta and Great Vessels 17859440 2007 09 17 2008 11 20 0003-4932 130 3 1949 Sep Annals of surgery Ann. Surg. The Valsalva Maneuver: An Aid for the Contrast Visualization of the Aorta and Great Vessels. 398-414 Freeman N E NE Fullenlove T M TM Wylie E J EJ Gilfillan R S RS eng Journal Article United States Ann Surg 0372354 0003-4932 1949 9 1 0 0 1949 9 1 0 1 1949 9 1 0 0 ppublish 17859440 PMC1616514

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1949 Annals of Surgery

74. The Loss of Fluid and Protein From the Blood During a Systemic Rise of Venous Pressure Produced by Repeated Valsalva Maneuvers in Man (PubMed)

The Loss of Fluid and Protein From the Blood During a Systemic Rise of Venous Pressure Produced by Repeated Valsalva Maneuvers in Man 13587655 2000 07 01 2018 12 01 0021-9738 37 11 1958 Nov The Journal of clinical investigation J. Clin. Invest. The loss of fluid and protein from the blood during a systemic rise of venous pressure produced by repeated valsalva maneuvers in man. 1465-7 BROWN E E HOPPER J J Jr SAMPSON J J JJ MUDRICK C C eng Journal Article United States J Clin Invest 7802877 0021 (...) -9738 0 Blood Proteins 0 Proteins OM Blood Blood Pressure physiology Blood Proteins Humans Male Pressure Proteins Valsalva Maneuver Venous Pressure 5935:17055:83:89:90 BLOOD BLOOD PRESSURE/physiology BLOOD PROTEINS 1958 11 1 1958 11 1 0 1 1958 11 1 0 0 ppublish 13587655 10.1172/JCI103738 PMC1062828 J Clin Invest. 1932 Jul;11(4):717-34 16694072 J Clin Invest. 1947 Sep;26(5):945-51 16695498 J Clin Invest. 1932 Jan;11(1):63-95 16694035 J Appl Physiol. 1957 Jan;10(1):26-30 13405825 Clin Sci (Lond). 1955

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1958 Journal of Clinical Investigation

75. Argon Green Laser for Valsalva Retinopathy Treatment and Long-term Follow-up of the Internal Limiting Membrane Changes in Optical Coherence Tomography (PubMed)

Follow-Up Studies Humans Laser Coagulation methods Lasers, Gas therapeutic use Male Retinal Hemorrhage diagnosis etiology surgery Tomography, Optical Coherence Valsalva Maneuver Vitreous Hemorrhage diagnosis etiology surgery 2015 12 5 6 0 2015 12 5 6 0 2016 12 15 6 0 ppublish 26635463 10.3341/kjo.2015.29.6.437 PMC4668262 Am J Ophthalmol. 2005 Jul;140(1):134-6 16038658 Ophthalmic Surg Lasers Imaging. 2011 May-Jun;42(3):222-8 21410093 Am J Ophthalmol. 2006 Jan;141(1):231; author reply 231-2 16387026 (...) Argon Green Laser for Valsalva Retinopathy Treatment and Long-term Follow-up of the Internal Limiting Membrane Changes in Optical Coherence Tomography 26635463 2016 12 13 2018 11 13 2092-9382 29 6 2015 Dec Korean journal of ophthalmology : KJO Korean J Ophthalmol Argon Green Laser for Valsalva Retinopathy Treatment and Long-term Follow-up of the Internal Limiting Membrane Changes in Optical Coherence Tomography. 437-8 10.3341/kjo.2015.29.6.437 Tirhis Hakan H Ulucanlar Eye Training and Research

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2015 Korean journal of ophthalmology : KJO

76. Valsalva retinopathy in pregnancy: a case report (PubMed)

Valsalva retinopathy in pregnancy: a case report Valsalva retinopathy is a known medical condition which happens after valsalva maneuver. The aim of this study was to report a case of young asian pregnant female presented with acute visual loss due to the valsalva retinopathy, followed by spontaneous visual recovery.A case of 23 years-old pregnant Asian female with 31 weeks of gestation presented with history of a sudden decrease in vision in her left eye from seven hours prior to the visit (...) . Based on clinical findings, laboratory test and imaging studies, the diagnosis of Valsalva retinopathy was confirmed. Subsequently, her normal vision was returned during three months with no intervention.Pregnancy is a risk factor for Valsalva retinopathy. Valsalva retinopathy generally has a good prognosis. Vision usually returns to normal over a short period of time and requires only observation.

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2015 BMC research notes

77. Visualization of the eustachian tube lumen with Valsalva computed tomography. (PubMed)

Visualization of the eustachian tube lumen with Valsalva computed tomography. Assess the feasibility of using the Valsalva maneuver to visualize the cartilaginous eustachian tube lumen with computed tomography (CT) in subjects with no ear disease.Prospective case series study.Thirty-eight consecutive patients undergoing CT of the sinuses for nose-related complaints with normal radiographic findings consented for a CT of the temporal bone while performing the Valsalva maneuver. Multiplanar (...) reconstruction was performed along the axis of the tube. Images were assessed for visualization of the whole length of lumen of the tube, or partial visualization with ratio of visualized to nonvisualized segments.The Valsalva maneuver allowed visualization of the whole length of the tube in 27/76 (35%) ears examined. It consistently visualized the distal one-third of the cartilaginous tube in 71/76 (94%) ears. Paradoxical collapse of the eustachian tube was present in three ears along with evidence of poor

2014 Laryngoscope

78. The Party Balloon Assisted Valsalva in Diagnosis of Superficial Venous Valvular Reflux of Lower Limb

: In this study, we compared the Party Balloon assisted Valsalva with Conventional Valsalva maneuver in diagnosis of superficial venous valvular reflux of lower limb by crossover study. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 40 participants Intervention Model: Single Group Assignment Masking: None (Open Label) Primary Purpose: Diagnostic Official Title: A Comparison of the Party Balloon Assisted Valsalva With Conventional Valsalva (...) The Party Balloon Assisted Valsalva in Diagnosis of Superficial Venous Valvular Reflux of Lower Limb The Party Balloon Assisted Valsalva in Diagnosis of Superficial Venous Valvular Reflux of Lower Limb - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please

2014 Clinical Trials

79. Suction/Inspiration against resistance or standardized Mueller maneuver : a new breathing technique to improve contrast density within the pulmonary artery: a pilot CT study. (PubMed)

gave written informed consent. Fifteen patients, each without suspicious lung emboli, were randomly assigned to four different groups with different breathing maneuvers (suction against resistance, Valsalva, inspiration, expiration) during routine CT. Contrast enhancement in the central and peripheral sections of the pulmonary artery were measured and compared with one another.Peripheral enhancement during suction yielded increased mean densities of 138.14 Hounsfield units (HU) (p = 0.001 (...) Suction/Inspiration against resistance or standardized Mueller maneuver : a new breathing technique to improve contrast density within the pulmonary artery: a pilot CT study. Our aim was to prospectively investigate whether the recently introduced suction/inspiration against resistance breathing method leads to higher computed tomography (CT) contrast density in the pulmonary artery compared to standard breathing.The present study was approved by the Medical Ethics committee and all subjects

2015 European radiology

80. Using Transcutaneous Laryngeal Ultrasonography (TLUSG) to Assess Post-thyroidectomy Patients' Vocal Cords: Which Maneuver Best Optimizes Visualization and Assessment Accuracy? (PubMed)

Using Transcutaneous Laryngeal Ultrasonography (TLUSG) to Assess Post-thyroidectomy Patients' Vocal Cords: Which Maneuver Best Optimizes Visualization and Assessment Accuracy? To assess vocal cord (VC) movement with transcutaneous laryngeal ultrasound (TLUSG), three maneuvers, namely passive (quiet respiration), active (phonation), and Valsalva maneuvers have been described. It remains unclear which maneuver or using more maneuvers provides better visualization and assessment accuracy. We (...) prospectively evaluated 342 post-thyroidectomy patients from two centers. They underwent TLUSG with direct laryngoscopic (DL) validation afterwards. During TLUSG, patients were instructed to perform all three maneuvers (passive, active, and Valsalva). VC visualization rate and accuracy between three maneuvers were compared. Visualization rate tended to be higher in Valsalva maneuver than that in other two maneuvers (92.1% vs. passive: 91.5%; active: 89.8%). While 19 patients had post-operative VC palsy

2015 World Journal of Surgery

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