Haemostasis in head and neck surgical procedures: Valsalva manoeuvre versus Trendelenburg tilt
نویسندگان
چکیده
منابع مشابه
The Valsalva manoeuvre: physiology and clinical examples.
The Valsalva manoeuvre (VM), a forced expiratory effort against a closed airway, has a wide range of applications in several medical disciplines, including diagnosing heart problems or autonomic nervous system deficiencies. The changes of the intrathoracic and intra-abdominal pressure associated with the manoeuvre result in a complex cardiovascular response with a concomitant action of several ...
متن کاملThe Valsalva Manoeuvre a Critical Review
The Valsalva manoeuvre is commonly used in diving to equalise middle ear pressures during descent. A forceful expiration with the nostrils and mouth held shut results in an increased nasopharyngeal pressure and opening of the Eustachian tubes. The correctly performed manoeuvre is easily taught, effective and usually without complications. When performed incorrectly, prolonged periods of raised ...
متن کاملLeft ventricular dysfunction--bedside Valsalva manoeuvre.
Thirty-seven patients were evaluated before cardiac catheterisation by bedside physical examination, including Valsalva manoeuvre, to assess the value of the sphygmomanometrically determined arterial pressure responses during the Valsalva manoeuvre and to compare its sensitivity, specificity, and predictive accuracy in the detection of left ventricular dysfunction with that of the commonly used...
متن کاملInfluence of posture on the Valsalva manoeuvre.
The objective of the present study was to evaluate the influence of posture on the responses of blood pressure (BP) and heart rate (HR) to the Valsalva manoeuvre (VM). Neurohumoral activation, as well as changes in intravascular and intracardiac volumes and pressures, are well known effects of orthostatic stress. These changes are likely to have significant effects on cardiovascular reflexes, s...
متن کاملMedical complications of surgical procedures in head and neck cancer patients.
The surgical treatment of head and neck cancer can be limited by the risk of postoperative complications, both local and medical. When it occurs, it usually leads to prolonged length of stay after the surgery and sometimes can be life-threatening. Early identification of risk factors based on clinical data is essential and is helpful in medical treatment.
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ژورنال
عنوان ژورنال: The Annals of The Royal College of Surgeons of England
سال: 2010
ISSN: 0035-8843,1478-7083
DOI: 10.1308/003588410x12664192076412