Modified positional valsalva - Revision history

Rossdonaldson1: /* External Links */

2019-08-21T04:46:25Z

External Links

← Older revision		Revision as of 04:46, 21 August 2019
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	*[https://www.youtube.com/watch?v=8DIRiOA_OsA Video explaination and demonstration of Modified Positional Valsalva]		*[https://www.youtube.com/watch?v=8DIRiOA_OsA Video explaination and demonstration of Modified Positional Valsalva]
	*[http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61485-4/abstract The Lancet: REVERT Trial]		*[http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61485-4/abstract The Lancet: REVERT Trial]
	*[https://www.medmastery.com/magazine/modified-valsalva-maneuver-video-review]		*https://www.medmastery.com/magazine/modified-valsalva-maneuver-video-review

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

2019-08-21T04:46:09Z

Links

← Older revision		Revision as of 04:46, 21 August 2019
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	{{Modified positional valsalva}}		{{Modified positional valsalva}}

	==Links==		==External Links==
	*[https://www.youtube.com/watch?v=8DIRiOA_OsA Video explaination and demonstration of Modified Positional Valsalva]		*[https://www.youtube.com/watch?v=8DIRiOA_OsA Video explaination and demonstration of Modified Positional Valsalva]
	*[http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61485-4/abstract The Lancet: REVERT Trial]		*[http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61485-4/abstract The Lancet: REVERT Trial]
			*[https://www.medmastery.com/magazine/modified-valsalva-maneuver-video-review]

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

2019-03-26T17:58:14Z

2015 REVERT Trial

← Older revision		Revision as of 17:58, 26 March 2019
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	==Background==		==Background==
	===2015 [[REVERT Trial]]===		===2015 REVERT Trial===
	*Studied modified Valsalva for [[SVT]] conversion to ~~[[NSR]]~~:<ref>Appelboam A. et al. Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial [http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736%2815%2961485-4.pdf fulltext]</ref>		*Studied modified Valsalva for [[SVT]] conversion to normal sinus:<ref>Appelboam A. et al. Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial [http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736%2815%2961485-4.pdf fulltext]</ref>
	**Normal Valsalva - 17% resolution		**Normal Valsalva - 17% resolution
	**Modified Positional Valsalva - '''43% resolution'''		**Modified Positional Valsalva - '''43% resolution'''

2019-02-28T17:39:27Z

2015 REVERT Trial

← Older revision		Revision as of 17:39, 28 February 2019
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	==Background==		==Background==
	===2015 [[REVERT Trial]]===		===2015 [[REVERT Trial]]===
	*~~Found~~ for [[SVT]] ~~resolution~~ to [[NSR]]:<ref>Appelboam A. et al. Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial [http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736%2815%2961485-4.pdf fulltext]</ref>		*Studied modified Valsalva for [[SVT]] conversion to [[NSR]]:<ref>Appelboam A. et al. Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial [http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736%2815%2961485-4.pdf fulltext]</ref>
	**Normal Valsalva - 17% resolution		**Normal Valsalva - 17% resolution
	**Modified Positional Valsalva - '''43% resolution'''		**Modified Positional Valsalva - '''43% resolution'''

2017-01-23T16:01:47Z

2017-01-23T16:01:04Z

← Older revision		Revision as of 16:01, 23 January 2017
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	*No adverse events or costs associated with Modified Positional Valsalva		*No adverse events or costs associated with Modified Positional Valsalva

	~~==Set-up==~~		{{Modified positional valsalva}}
	~~[[File:Screen Shot 2016-08-04 at 6.14.06 PM.png\|thumbnail]]~~
	~~[[File:Screen Shot 2016-08-04 at 5.53.13 PM.png\|thumbnail\|right]]~~
	*10ml syringe with plunger
	*Two assistants - one to adjust head of bed and another to raise/lower legs.

	~~==Steps==~~
	~~#Position patient with legs flat and head of bed to 45°~~
	~~#Have patient attempt to blow out plunger of 10ml syringe (or Valsalva around 40mmHg) for 15 seconds.~~
	~~#Then quickly reposition patients head of bed to flat and have the other assistant raise legs to 45° for another 15 seconds.~~
	~~#Return patient to head of bed at 45° and continue to monitor for resolution for 1 minute.~~
	~~#Repeat if needed.~~

	==Links==		==Links==
	[https://www.youtube.com/watch?v=8DIRiOA_OsA Video explaination and demonstration of Modified Positional Valsalva]		*[https://www.youtube.com/watch?v=8DIRiOA_OsA Video explaination and demonstration of Modified Positional Valsalva]
			*[http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61485-4/abstract The Lancet: REVERT Trial]
	[http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61485-4/abstract The Lancet: REVERT Trial]

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

2016-09-24T10:57:53Z

← Older revision	Revision as of 10:57, 24 September 2016
(No difference)

2016-09-10T23:17:56Z

2016-08-05T01:55:31Z

← Older revision		Revision as of 01:55, 5 August 2016
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	==Set-up==		==Set-up==
			[[File:Screen Shot 2016-08-04 at 6.14.06 PM.png\|thumbnail]]
			[[File:Screen Shot 2016-08-04 at 5.53.13 PM.png\|thumbnail\|right]]
	*10ml syringe with plunger		*10ml syringe with plunger
	*Two assistants - one to adjust head of bed and ~~other~~ to raise/lower legs.		*Two assistants - one to adjust head of bed and another to raise/lower legs.

	==Steps==		==Steps==
	#Position patient with legs flat and head of bed to 45°		#Position patient with legs flat and head of bed to 45°
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	#Return patient to head of bed at 45° and continue to monitor for resolution for 1 minute.		#Return patient to head of bed at 45° and continue to monitor for resolution for 1 minute.
	#Repeat if needed.		#Repeat if needed.
	~~[[File:Screen Shot 2016-08-04 at 6.14.06 PM.png\|thumbnail]]~~
	~~[[File:Screen Shot 2016-08-04 at 5.53.13 PM.png\|thumbnail\|right]]~~

	==Links==		==Links==

2016-08-05T01:52:57Z

links update

← Older revision		Revision as of 01:52, 5 August 2016
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	==Links==		==Links==
	[https://www.youtube.com/watch?v=8DIRiOA_OsA Modified Valsalva ~~manoeuvre for supraventricular tachycardia~~]		[https://www.youtube.com/watch?v=8DIRiOA_OsA Video explaination and demonstration of Modified Positional Valsalva]

	[http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61485-4/abstract ~~Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (~~REVERT~~): a randomised controlled trial~~]		[http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61485-4/abstract The Lancet: REVERT Trial]

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