Clinical Test for Pulmonary Congestion With Use of the Valsalva Maneuver

Adrenergic Nervous System in Sodium Metabolism: Effects of Guanethidine and Sodium-retaining Steroids in Normal Man*

“…to developed marked shortness of breath. She was found to have pleural effusion, a venous pressure of 165 mm of water, and a Valsalva maneuver compatible with congestive heart failure ( Figure 4) (11). The steroid was discontinued.…”

A comparison of two bearing-down techniques during the second stage of labor

“…The research with nonpregnant subjects has also indicated that bearing‐down efforts performed without an initial full inspiration, with a partially closed glottis and slow exhalation, or with a slow increase up to 40 mm Hg strain, did not result in such pronounced circulatory changes as occurred when the Valsalva maneuver was performed after full inspiration and with breath‐holding 9, 10 . Multiple short bearing‐down efforts of less than 6 sec did not grossly effect circulation time (12‐50% delay) compared to more prolonged 10 sec bearing‐down efforts (100%) delay 11 .…”

The valsalva maneuver as a clinical test for circulatory congestion in chronic uremia

“…A bedside method t o detect cardiac failure from abnormal responses t o the Valsalva maneuver and using a sphygmomanometer instead of arterial puncture has been developed (Knowles et al, 1956). This paper provides data on the usefulness of the Valsalva maneuver as an index of circulatory congestion and hypervolemia in 19 chronically uremic patients in the azotemic state and maintained on periodic hernodialysis as contrasted t o nonazotemic surgical patients with pulmonary insuficienc y.…”