Objectives: The aim of this study is to try to understand the origin of the definition of the Valsalva manoeuvre by going back to original documents and finding out at which moment, the eponym was given to these two different manoeuvres, and their congruence to reality.
Methods: Historical study of selected textbooks and articles about the Valsalva manoeuvre.
Results: Valsalva effectively described the manoeuvre against closed nostrils and mouth at the beginning of the 18th century, but he was not the first. On the contrary, Valsalva did not describe the manoeuvre against a closed glottis. This was a mid-20th century creation.
Conclusions: Two questions remain: 1. What should be done with the eponymous appellation of the manoeuvre with closed mouth and nostrils? Certainly to keep it, even if Valsalva was not the first to clearly describe it. 2. What to do with the eponymous appellation of the manoeuvre with a closed glottis? It would be ideal to change it, as it is misnamed, confusing, and only recently formulated.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.ijporl.2015.08.023 | DOI Listing |
Crit Care
January 2025
Keenan Centre for Biomedical Research, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.
Background: In patients with acute hypoxemic respiratory failure (AHRF) under mechanical ventilation, the change in pressure slope during a low-flow insufflation indicates a global airway opening pressure (AOP) needed to reopen closed airways and may be used for titration of positive end-expiratory pressure.
Objectives: To understand 1) if airways open homogeneously inside the lungs or significant regional AOP variations exist; 2) whether the pattern of the pressure slope change during low-flow insufflation can indicate the presence of regional AOP variations.
Methods: Using electrical impedance tomography, we recorded low-flow insufflation maneuvers (< 10 L/min) starting from end-expiratory positive pressure 0-5 cmHO.
World J Pediatr Congenit Heart Surg
January 2025
Fujimidai-dori Clinic, Tokyo, Japan.
Transposition of the great arteries (TGA) with a rare form of ventricular septal defect (VSD) needs careful attention when choosing the optimal strategy for repair. A neonate with TGA and an atypical VSD, which extended from the perimembranous to the juxta-arterial regions, underwent the arterial switch procedure. The large VSD was successfully closed via a trans-tricuspid combined with a trans-aortic valve approach concomitantly with the arterial switch maneuver.
View Article and Find Full Text PDFBMC Anesthesiol
January 2025
Department of Anesthesia, ICU & Pain, Faculty of Medicine (Boys), Al-Azhar University, Cairo, Egypt.
Background: Endotracheal intubation (ETI) is a life-saving procedure that must be accurately carried on to guard against complications. Presbyopia leads to difficulty in viewing close objects and may obstacle proper intubation even with the best hands.
Purpose: This study supposed that the use of video-laryngoscope (VL) may provide better intubation conditions for presbyopic anesthetists and targets to evaluate the neonates and infants' intubation success rates (ISR) by anesthetists aged ≥ 45 years using the C-MAC VL compared to the standard laryngoscope (SL).
Medicina (Kaunas)
December 2024
Department of Traumatology, Gachon University College of Medicine, Incheon 21565, Republic of Korea.
: Rib fractures are common in patients with trauma, and patients with multiple rib fractures often require surgical stabilization. Because rib fractures may occur at different sites along the ribs, the technical approach to surgical stabilization varies. Here, we present a case of posterior rib fractures with multiple paraspinal fragmented rib segments that were successfully treated with costovertebral plate fixation.
View Article and Find Full Text PDFSurgery
January 2025
Department of Surgery, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL. Electronic address:
Entrustable professional activities are a competency-based evaluation framework which was deployed by the American Board of Surgery in 2023 to evaluate general surgical residents and provide a path to independent practice. Entrustable professional activity microassessments are based on 18 conditions which are core to being a practicing general surgeon, and most include multiple phases of care, such as preoperative care, intraoperative care, and postoperative care. These evaluations are an amalgam of all the clinical competencies, including medical knowledge and patient care skills.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!