Modified valsavla in SVT

[paramedicmike]

I heard about this recently on an emergency medicine podcast I listen to.  Thought it was interesting.  I'm not entirely sure how well it would work in a field setting given time and space limitations.  However, I found it interesting that there are, in fact, ways to make (or at least help make) valsavla maneuvers actually work. 

Linky, link.

Linkity link to Lancet abstract.

Edited November 6, 2015 by paramedicmike

[Just Plain Ruff]

If you have the room and if you can be trained by a cardiologist or someone who knows the procedure then I don't see the harm in trying this on your patients who have SVT who are not critically unstable.  

[paramedicmike]

Ok.  I'll call myself out here.  Please excuse my embarrassment. 

It's "Valsalva".  My apologies for the error.

[rock_shoes]

I've used this technique for the last year with similar results to those reported. The concept behind it is that more prolonged vagal stimulation provided by the short term bump in CVP provided by the leg raise will increase effectiveness of the maneuver.