Asian Journal of Dental Sciences

Valsalva Manoeuvre: A Versatile Diagnostic and Therapeutic Method

Neelima Gehlot

Department of Oral and Maxillofacial Surgery, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India.

Sooraj S. Pillai *

Department of Oral and Maxillofacial Surgery, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India.

Snigdha Singh

Department of Oral and Maxillofacial Surgery, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India.

*Author to whom correspondence should be addressed.

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Abstract

Background: The method of the Valsalva manoeuvre was described in the literature about 300 years ago. Since then it has been used in various specialities with various modifications. It has various therapeutics and diagnostic values in medical science. During the procedure, there is an increase in intra-thoracic pressure which sets in a cascade of reflex reactions in the body which indirectly affects the heart rate. In awake patients, it can be used as an emergency procedure to terminate supraventricular tachycardia. This article discusses its underlying physiological mechanism and intra-operative use in the management of postoperative hemorrhagic complications. The article also highlights its potential complications and usage effectiveness in current scenarios.

Conclusion: This review provides details on the physiological changes and usage of Valsalva Manoeuvre in head and neck surgeries.

Keywords: Valsalva Manoeuvre (VM), supra ventricular tachycardia, bradycardia, tachycardia

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