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Valsalva Maneuver

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161. A cardiac risk score based on sudomotor function to evaluate cardiovascular autonomic neuropathy in asymptomatic Chinese patients with diabetes mellitus. Full Text available with Trip Pro

tests and cardiac autonomic reflex tests, including heart rate variability due to Valsalva maneuver, heart rate response due to deep breathing and heart rate response due to standing up. Presenting 2 abnormal results was defined as cardiac autonomic neuropathy.Subjects with cardiac autonomic neuropathy has significantly higher cardiac autonomic neuropathy risk score (32.88±1.60 vs 27.64±1.24,P = 0.010). Cardiac autonomic neuropathy risk score was correlated significantly with the heart rate response

2018 PLoS ONE

162. Utility of Adjunctive Procedures With Balloon Dilation of the Eustachian Tube Full Text available with Trip Pro

, Valsalva maneuver, and PTA audiometry.67 ETs (48 patients) underwent BDET: 1) 30/67 balloon w/wo myringotomy, w/wo tube, 2) 20/67 plus adjunctive procedure or 3) 17/67 plus guidewire. Follow-up was ranging from 0.4 to 3.4 years (mean 1.3 year, SD = 0.7). Significant improvement occurred in 79%. There was no significant difference in the failure rate comparing balloon dilation with adjunctive procedures 5/20 (25%) or without adjunctive procedures; 4/30 p = 0.45 (13%). Failure rate for BDET plus guide

2017 Laryngoscope investigative otolaryngology

163. Heritability of the dimensions, compliance and distensibility of the human internal jugular vein wall. Full Text available with Trip Pro

and mediolateral diameters of the IJV were measured bilaterally by ultrasonography. Measurements were made both in the sitting and supine positions, with or without Valsalva maneuver. Univariate quantitative genetic modeling was performed.Genetic factors are responsible for 30-70% of the measured properties of IJV at higher venous pressure even after adjustment for age and gender. The highest level of inheritance was found in the supine position regarding compliance (62%) and venous diameter during Valsalva

2018 PLoS ONE

164. Ultrasonography and clinical outcomes following anti-incontinence procedures (Monarc vs MiniArc): A 3-year post-operative review. Full Text available with Trip Pro

incontinence and urodynamic stress incontinence who had undergone MiniArc or Monarc surgery. Data regarding preoperative evaluation, intraoperative complications and post-operative follow-ups were collated. Main outcome is to determine the change in position of the sling through measurement of the x- and y-axis at rest and during Valsalva maneuver using the 3D introital ultrasound.A total of 138 patients were evaluated, 82 belonged to Monarc and 56 to MiniArc. At 3years, objective and subjective cure rates (...) for MiniArc and Monarc were comparable (88%, 91%; p>0.05; 83%, 89%, p>0.05 respectively). Ultrasonographic changes between MiniArc and Monarc from 6 months to 3 years, showed MiniArc to exhibit significant movement in both x- [3.0 ±0.4 mm vs. 2.2 ±0.3 mm (p = 0.02) at rest; 2.6 ±0.3 mm vs. 1.6 ±0.3 mm (p<0.001) during valsalva] and y-axis [3.5 ±0.5 mm vs. 2.0 ±0.3 mm (p<0.001) at rest; 3.3 ±0.5 mm vs. 2.9 ±0.3 mm (p = 0.037) during Valsalva]. The mobility of MiniArc was significantly more than Monarc from

2018 PLoS ONE

166. Guidelines for Laparoscopic Ventral Hernia Repair

recommendation) Diagnosis of a ventral hernia is typically made during the history and physical examination. Imaging studies including ultrasound, provocative ultrasound, computed tomography (CT) with and/or without Valsalva, and magnetic resonance imaging (MRI) can also be used for diagnosis. Imaging studies may be helpful to assess the anatomic details of a ventral hernia, augmenting the physical examination, especially when a hernia cannot be reduced, and therefore the defect cannot be palpated (...) defects, which occur in almost half of cases, thus allowing adequate mesh coverage of all defects and the entire old incision. Enterotomy during LVHR has been reported between 1- 6% and usually occurs during adhesiolysis. Several maneuvers facilitate safe adhesiolysis, including: Traction/counter traction technique Use of angled or flexible laparoscope Moving the scope among ports Improved exposure utilizing outside pressure on the abdominal wall, particularly for adhesions within a hernia sac

2016 Society of American Gastrointestinal and Endoscopic Surgeons

169. Neuro-urology

Urodynamics 14 3C.7.1 Introduction 14 3C.7.2 Urodynamic tests 15 3C.7.3 Specialist uro-neurophysiological tests 16 3C.7.4 Recommendations for urodynamics and uro-neurophysiology 16 3C.7.5 Typical manifestations of neuro-urological disorders 16 3C.8 Renal function 16 3D DISEASE MANAGEMENT 17 3D.1 Introduction 17 3D.2 Non-invasive conservative treatment 17 3D.2.1 Assisted bladder emptying - Credé manoeuvre, Valsalva manoeuvre, triggered reflex voiding 17 3D.2.2 Lower urinary tract rehabilitation 17 3D.2.2.1 (...) the resulting residual urine [101]. Reduction of the detrusor pressure contributes to urinary continence, and consequently to social rehabilitation and QoL. It is also pivotal in preventing UTI [9, 104]. Complete continence can however not always be obtained. 3D.2 Non-invasive conservative treatment 3D.2.1 Assisted bladder emptying - Credé manoeuvre, Valsalva manoeuvre, triggered reflex voiding Incomplete bladder emptying is a serious risk factor for UTI, high intravesical pressure during the filling phase

2015 European Association of Urology

170. Supraventricular Tachycardia: Guideline For the Management of Adult Patients With

-excitation, pregnancy, quality of life, sinoatrial node, sinus node reentry, sinus tachycardia, supraventricular tachycardia, supraventricular arrhythmia, tachycardia, tachyarrhythmia, vagal maneuvers (Valsalva maneuver), and Wolff-Parkinson-White syndrome. Additionally, the GWC reviewed documents related to supraventricular tachycardia (SVT) previously published by the ACC, AHA, andHeartRhythmSociety(HRS).Referencesselectedand publishedinthisdocumentarerepresentativeandnotall- inclusive. An independent (...) , NO. 13, 2016 Page et al. APRIL 5, 2016:e27–115 2015 ACC/AHA/HRS SVT Guideline e41Recommendations for Acute Treatment of SVT of Unknown Mechanism COR LOE RECOMMENDATIONS I B-R 1. Vagal maneuvers are recommended for acute treatment in patients with regular SVT (82–84). See Online Data Supplements 2 and 3. For acute conversion of SVT, vagal maneuvers, including Valsalva and carotid sinus massage, can be performed quickly and should be the?rst-line intervention to terminate SVT. These maneuvers should

2015 American College of Cardiology

171. Congenital Heart Disease in the Older Adult Full Text available with Trip Pro

of coronary artery anomalies were assessed, the presence of a left coronary artery from the right sinus was thought to be more strongly associated with risk of sudden cardiac death (SCD); however, there is increasing recognition that a dominant right coronary artery from the left sinus of Valsalva with high-risk anatomic features may pose an equal risk. At older ages, several factors must be taken into account when determining the potential level of risk from an anomalous coronary artery and indications

2015 American Heart Association

172. 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia Full Text available with Trip Pro

tachycardia, junctional tachycardia, multifocal atrial tachycardia, paroxysmal supraventricular tachycardia, permanent form of junctional reciprocating tachycardia, pre-excitation, pregnancy, quality of life, sinoatrial node, sinus node reentry, sinus tachycardia, supraventricular tachycardia, supraventricular arrhythmia, tachycardia, tachyarrhythmia, vagal maneuvers (Valsalva maneuver ), and Wolff-Parkinson-White syndrome . Additionally, the GWC reviewed documents related to supraventricular tachycardia

2015 American Heart Association

173. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 1: Classification of Sports: Dynamic, Static, and Impact

muscle, which leads to large, sustained changes in blood pressure via the exercise pressor reflex. The larger the muscle mass involved, the greater the intensity of contraction, and the greater the rise in blood pressure ; incorporation of a Valsalva maneuver during contractions will acutely and transiently increase transmural arterial pressure markedly in blood vessels outside of the chest, although left ventricular (LV) afterload does not appear to increase because of a balanced rise (...) JH, Schibye B, Payne FC, Saltin B. Response of arterial blood pressure to static exercise in relation to muscle mass, force development, and electromyographic activity. Circ Res . 1981 ; 48 (pt 2):I70–I75. Haykowsky M, Taylor D, Teo K, Quinney A, Humen D. Left ventricular wall stress during leg-press exercise performed with a brief Valsalva maneuver. Chest . 2001 ; 119 :150–154. Rowell LB. Neural control of muscle blood flow: importance during dynamic exercise. Clin Exp Pharmacol Physiol . 1997

2015 American Heart Association

174. AIUM Practice Parameter for the Performance of Scrotal Ultrasound Examinations

also be scanned to look for testicular ectopia. 16 Relevant extratesticular structures should be evaluated. The head, body, and tail of the epi- didymis should be evaluated when technically feasible. The spermatic cord should be evaluat- ed if there is suspicion for testicular torsion. 20 The scrotal wall, including the overlying skin, should be evaluated. Additional techniques such as the Valsalva maneuver or upright position- ing can be used as needed. Any abnormality should be documented

2015 American Institute of Ultrasound in Medicine

175. AIUM Practice Parameter for the Performance of Peripheral Venous Ultrasound Examinations

should be evaluated. c. Augmentation with squeezing of the calf musculature should generally be used. The Valsalva maneuver may be used at the groin. A cuff inflator may also be used. d. The patient should be situated in the erect position for the detection or exclusion of reflux. The reverse Trendelenburg position can be used if erect scanning is not possi- ble. The examined leg should be in a non–weight-bearing position. The patient should not be studied for reflux in the supine position. e. All (...) /15 3:28 PM Page 52015—AIUM PRACTICE PARAMETER—Peripheral Venous Ultrasound 4 www.aium.org B. Venous Insufficiency: Lower Extremity 1. Technique a. When evaluating for venous insufficiency, the location and duration of reversed blood flow should be determined during the performance of accepted maneuvers. 17,18 b. Duplex interrogation should be performed at as many levels as necessary to ensure a complete examination based on the clinical indications. 18–21 Veins in the superficial and deep systems

2015 American Institute of Ultrasound in Medicine

176. Perineal ultrasound for the measurement of urethral mobility: a study of inter- and intra-observer reliability. (Abstract)

examination.We included 50 women from the multicenter randomized 3PN study ("Prenatal Perineal Prevention"). BND was measured by two operators either during pregnancy (at 20 weeks of gestation) or 2 months after delivery. Two measurements were taken by each operator. Intra-class coefficient correlations were used for analysis. Urethral mobility was clinically assessed by measuring the point Aa of the POP-Q classification during maximum strain (Valsalva maneuver) with an empty bladder.Ultrasound analysis

2019 International urogynecology journal Controlled trial quality: uncertain

177. Buteyko breathing technique for obstructive Eustachian tube dysfunction: Preliminary results from a randomized controlled trial. (Abstract)

) symptom scores, tympanogram, positive Valsalva maneuver were evaluated at baseline, 6-week and 12-week follow-up.Normalization of ETDQ-7 symptom scores at 6-week follow-up was observed in 30.0% (12/40) of the Buteyko breathing group versus 16.2% (6/37) of the controls (P > 0.05). At 12-week follow-up, the ratio rose to 50.0% (20/40) in the Buteyko breathing group and 24.3% (9/37) in the controls (P < 0.05). Tympanogram normalization at 12-week follow-up was observed in 53.6% (15/28) of the Buteyko (...) breathing group versus 26.9% (7/26) of the controls (P < 0.05). The Buteyko breathing group showed slight improvement in positive Valsalva maneuver at 6- and 12-week follow-up (P > 0.05).Our study shows that Buteyko breathing technique might be an effective adjunctive intervention in treatment of obstructive ETD, especially for those patients who are refractory to medical treatment and cannot afford Eustachian tube balloon dilation surgery.Copyright © 2019 Elsevier Inc. All rights reserved.

2019 American Journal of Otolaryngology Controlled trial quality: uncertain

178. Liraglutide-Induced Weight Loss May be Affected by Autonomic Regulation in Type 1 Diabetes. Full Text available with Trip Pro

for 24 weeks in overweight patients with type 1 diabetes. Autonomic function was assessed by heart rate response to deep breathing (E/I ratio), to standing (30/15 ratio), to the Valsalva maneuver and resting heart rate variability (HRV) indices. Associations between baseline the cardiovascular autonomic neuropathy (CAN) diagnosis (> 1 pathological non-resting test) and levels of test outcomes on liraglutide-induced weight loss was assessed by linear regression models. Results: Ninety-nine patients

2019 Frontiers in endocrinology Controlled trial quality: predicted high

179. The Role of Nonpharmacological Methods in Attenuation of Pain Due to Peripheral Venous Cannulation: A Randomized Controlled Study. Full Text available with Trip Pro

The Role of Nonpharmacological Methods in Attenuation of Pain Due to Peripheral Venous Cannulation: A Randomized Controlled Study. Establishing an intravenous access is indispensable for safe administration of anesthesia. Most of the times, it is executed without any analgesia although the pain associated with this procedure is quite agonizing to the patients.This study aims to evaluate the role of 3 different nonpharmacological measures such as Valsalva maneuver, flash of light (...) , and distraction method in attenuation of pain during venous cannulation.A clinical randomized controlled study.Two hundred patients of either sex, aged between 18 and 65 years, posted for elective surgery were enrolled in this study. Patients were randomly allocated into four groups, Group C-control, Group V (valsalva) - blew into sphygmomanometer raising the mercury column up to 30 mm of Hg, Group D (distraction) - pressed a rubber ball and Group L (light) - photographed with a flash of light before venous

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

180. Dried salted plum consumption ameliorates hyperbaric oxygen therapy-induced otalgia severity at the first chamber session: a prospective randomized controlled study. (Abstract)

were included in the present prospective randomized controlled trial. The Valsalva maneuver was administered to all patients before HBO₂. The patients were randomly divided into two groups: one that ate a dried salted plum during HBO₂ treatment and the other that did not. An otoscopic examination was performed after HBO₂ therapy. The MEB was graded according to Teed scores. The degree of otalgia was recorded using the Visual Analog Scale (VAS).Ninety patients were enrolled. The overall incidence

2019 Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc Controlled trial quality: uncertain

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