Modified positional valsalva: Difference between revisions
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*No adverse events or costs associated with Modified Positional Valsalva | *No adverse events or costs associated with Modified Positional Valsalva | ||
{{Modified positional valsalva}} | |||
==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== | ||
Revision as of 16:01, 23 January 2017
Background
2015 REVERT Trial
- Found for SVT resolution to NSR:[1]
- Normal Valsalva - 17% resolution
- Modified Positional Valsalva - 43% resolution
- No adverse events or costs associated with Modified Positional Valsalva
Modified positional valsalva
Set-up
- 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
- Quickly reposition patient's head of bed to flat and have the other assistant raise legs to 45° for another 15 seconds
- Return head of bed to 45° and continue to monitor for resolution for 1 minute
- Repeat if needed