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A vagal maneuver is an action used to stimulate the parasympathetic nervous system by activating the vagus nerve.The vagus nerve is the longest nerve of the autonomic nervous system and helps regulate many critical aspects of human physiology, including heart rate, blood pressure, sweating, and digestion through the release of acetylcholine.
Vagal maneuvers, such as the Valsalva maneuver, are often used as the initial treatment. [4] If not effective and the person has a normal blood pressure the medication adenosine may be tried. [4] If adenosine is not effective a calcium channel blocker or beta blocker may be used. [4] Otherwise synchronized cardioversion is the treatment. [4]
Vagal maneuvers, or a procedure known as catheter ablation, may be effective in certain types. [5] For atrial fibrillation, calcium channel blockers or beta blockers may be used for rate control, and selected patients benefit from blood thinners (anticoagulants) such as warfarin or novel anticoagulants . [ 5 ]
The efferent portion is carried by the vagus nerve from the cardiovascular center of the medulla to the heart, of which increased stimulation leads to decreased output of the sinoatrial node. [3] This reflex is especially sensitive in neonates and children, particularly during strabismus correction surgery . [ 4 ]
For AVNRT, sometimes people can use vagal maneuvers as well, which are ways to activate the vagus nerve, which tends to block the AV node temporarily, therefore potentially stopping the episode. Some methods include a carotid sinus massage, as well as a valsalva maneuver—which is forced exhalation against a closed airway.
The Heimlich maneuver is a first-aid method recommended by most health organizations, which uses abdominal thrusts to dislodge an obstruction from a person’s windpipe. Boy, 8, Saves Choking ...
The Trendelenburg position along with the Valsalva maneuver, termed as modified-Valsalva maneuver, can also be used for the cardioversion of supraventricular tachycardia. [ 5 ] The Trendelenburg position is helpful in surgical reduction of an abdominal hernia.
A man is facing multiple charges after Mississippi police say they found him asleep in a car at a highway intersection with marijuana, a gun and a bottle of alcohol.