Ver el código de «Modified positional valsalva»

==Background==
===2015 [[REVERT Trial]]===
*Found for [[SVT]] resolution to [[NSR]]:<ref>Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial. Appelboam, Andrew et al. The Lancet , Volume 386 , Issue 10005 , 1747 - 1753</ref>
**Normal Valsalva - 17% resolution 
**REVERT Valsalva - '''43% resolution''' 
*No adverse events or costs associated with Modified Positional Valsalva

==Set-up==
*10ml syringe with plunger 
*Two assistants - one to adjust head of bed and other 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. 
#After the 15 seconds, quickly reposition patients head of bed to flat and have another person 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. 
[[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==
[https://www.youtube.com/watch?v=8DIRiOA_OsA Modified Valsalva manoeuvre for supraventricular tachycardia]

[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]

==See Also== 
*[[Vagal maneuvers]]
*[[SVT]]

==References==
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