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Modified valsalva versus standard valsalva for cardioversion of supraventricular tachycardia: systematic review and meta‑analysis

Abdulhamid A,  Almehmadi F, Ghaddaf A, Alomari M, Zagzoog A, Al‑Qubbany

Background: Supraventricular tachycardia (SVT) is a major cause of emergency room visits where vagal maneuver is used as first-line therapy. The valsalva maneuver (VM) is proven to be safe and,...
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Endoscopy-assisted Removal of a Large Rectal Foreign Body by the Valsalva Maneuver

Son MY, Park SJ, Moon W, Oh GM, Park MI, Kim SE, Kim JH, Jung K

Although not as common as foreign bodies in the upper gastrointestinal tract, rectal foreign body insertion is often encountered in emergency departments. The diverse types of rectal foreign bodies have...
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Heart-Rate-Based Machine-Learning Algorithms for Screening Orthostatic Hypotension

Kim JB, Kim H, Sung JH, Baek SH, Kim BJ

Background and Purpose: Many elderly patients are unable to actively stand up by themselves and have contraindications to performing the head-up tilt test (HUTT). We aimed to develop screening algorithms...
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Choroidal Effusion after Consecutive General Anesthesia

Park NR, Kim JT

PURPOSE: To report a case of extensive choroidal effusion following the Valsalva maneuver under consecutive general anesthesia. CASE SUMMARY: A 41-year-old man who underwent panretinal photocoagulation with proliferative diabetic retinopathy had...
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Status epilepticus due to cerebral air embolism after the Valsalva maneuver

Lyou HJ, Lee HJ, Lee GY, Kim WJ

BACKGROUND: Cerebral air embolism is uncommon but potentially causes catastrophic events such as cardiac damage or even death. However, due to a low overall incidence, it may go undiagnosed. CASE REPORT:...
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Evaluation of Adrenergic Function: Tilt-Table and Valsalva Test

Lee H, Kim HA

Orthostatic dizziness is a common dizziness syndrome characterized by nonvertiginous lightheadedness when patients rise to stand from a sitting or supine position. Orthostatic dizziness is commonly believed to derive from...
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Evaluation of efficacy of Valsalva maneuver for attenuating propofol injection pain: a prospective, randomized, single blind, placebo controlled study

Kumar S, Khuba S, Agarwal A, Gautam S, Yadav M, Dixit A

BACKGROUND: Pain on injection is a limitation with propofol use. The effect of the Valsalva maneuver on pain during propofol injection has not been studied. This maneuver reduces pain through...
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Cardiovagal Baroreflex Sensitivity in Parkinson's Disease and Multiple-System Atrophy

Roy S, Jaryal AK, Srivastava AK, Deepak KK

BACKGROUND AND PURPOSE: Parkinson's disease (PD) and multiple-system atrophy of the parkinsonian type (MSA-P) are progressive neurodegenerative disorders that in addition to dysfunction of the motor system also present with...
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The effect of Valsalva maneuver in attenuating skin puncture pain during spinal anesthesia: a randomized controlled trial

Kumar S, Gautam SK, Gupta D, Agarwal A, Dhirraj S, Khuba S

BACKGROUND: Valsalva maneuver reduces pain by activating sinoaortic baroreceptor reflex arc. We planned this study to evaluate the role of valsalva in attenuating spinal needle-puncture pain. METHODS: Ninety American Society of...
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Comparison of internal jugular vein dilation between Valsalva maneuver and proximal internal jugular vein compression

Seong H, Kang B, Kim G

OBJECTIVE: The Valsalva maneuver is recognized as an effective method to dilate the internal jugular vein (IJV). However, this maneuver cannot be performed in many cases, such as children and...
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The Effect of the Valsalva Maneuver on the External Jugular Vein

Moon HS, Jung SH, Yoo SH, Ji JY, Lee HJ

BACKGROUND: The external jugular vein (EJV) is a useful intravenous (IV) cannulation site for anesthesiologists, although it has a relatively high failure rate. Unlike other central veins, visualization of the...
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Efficacy of scrotal Doppler ultrasonography with the Valsalva maneuver, standing position, and resting-Valsalva ratio for varicocele diagnosis

Kim YS, Kim SK, Cho IC, Min SK

PURPOSE: To determine effectiveness of Valsalva maneuver and standing position on scrotal color Doppler ultrasound (CDU) for the varicocele diagnosis. MATERIALS AND METHODS: We reviewed the physical examination and CDU finding...
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Bilateral Sequential Pneumolabyrinth Resulting from Nose Blowing

Lee JS, Kwon SY, Kim JH, Kim HJ

Pneumolabyrinth describes a condition with entrapped air in the labyrinth and usually occurs in temporal bone fractures that involve the otic capsule. While sporadic cases of bilateral pneumolabyrinth have been...
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Doppler ultrasonography measurement of hepatic hemodynamics during Valsalva maneuver: healthy volunteer study

Bang DH, Son Y, Lee YH, Yoon KH

PURPOSE: The aim of our study was to assess the hemodynamic change of liver during the Valsalva maneuver using Doppler ultrasonography. METHODS: Thirty healthy men volunteers were enrolled (mean age, 25.5+/-3.64...
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Pneumomediastinum after functional endoscopic sinus surgery under general anesthesia: A case report

Park JM, Park YC, Lee JN, Bae JS, Kang SK

The occurrences of pneumothorax and pneumomediastinum are rare, but considered to be potentially life-threatening conditions in patients undergoing functional endoscopic sinus surgery under general anesthesia. Tracheobronchial rupture may results in...
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Inducible Dynamic Proptosis in a Neurofibromatosis Patient With Arachnoid Cyst

Jo YJ, Lee SB, Kwon HJ, Nam KY, Lee YH

PURPOSE: To report a case of proptosis occurring during a Valsalva maneuver in a neurofibromatosis patient with an arachnoid cyst. CASE SUMMARY: A 42-year-old man diagnosed with type I neurofibromatosis visited...
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Valsalva Maneuver-induced Amaurosis Fugax

Jo YJ, Yun YJ, Kwag JY, Kim JY

  • KMID: 2425098
  • J Korean Ophthalmol Soc.
  • 2010 May;51(5):779-783.
PURPOSE: To report the case of a patient with amaurosis fugax that occurred following a Valsalva maneuver. CASE SUMMARY: A 40-year-old man presented with amaurosis fugax of the right eye, which...
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Nonaneurysmal Subarachnoid Hemorrhage : Rare Complication of Vertebroplasty

Lim JB, Park JS, Kim E

On rare occasions, percutaneous vertebroplasty (PV) may be associated with adverse spinal and extraspinal events. Subarachnoid hemorrhage (SAH) has not been reported complication following a PV. This is a report...
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The Effect of Positional Changes during Heavy Weight Lifting on Intraocular Pressure

Song HY, Jeoung SM, Im JS, Lee E, Kwon JD

PURPOSE: To measure intraocular pressure (IOP) as a function of positional changes of the head during heavy weight lifting. METHODS: The subjects of this study were 30 healthy adult males in...
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Suprachoroidal Hemorrhage During Pars Plana Vitrectomy Associated with Valsalva Maneuver

Lim HW, Ko BW, Song Y, Lee BR

PURPOSE: To report a suprachoroidal hemorrhage by Valsalva maneuver during vitrectomy under general anesthesia. CASE SUMMARY: A healthy 26-year-old man had vitrectomy under general anesthesia due to rhegmatogenous retinal detachment in...
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