A Vagal Maneuver that REALLY WORKS!

  1. 20
    hi all,

    Just wanted to share this, I learned this vagal maneuver about a month or so ago and so far it has worked wonders!! The downside is it requires that the patient on a bed/Stretcher, although I suppose it may work if they are sitting.

    Have the patient take a deep breath in and hold it while trying to lift both legs up off stretcher at the same time. I know this sounds silly, but trust me when I say it works to vagal them!

    I had a patient just the other day in an SVT in the ED and I had her do this, she converted to a sinus rhythm almost instantly. This patient had tried vasalva at home multiple times without success.

    I am posting this becuase none of the other nurses in the ER had even heard of this vagal maneuver, so I wanted to share it for others who may not have heard about it.


    Sweetooth
    BrazoriaLVN, teeniebert, Jules A, and 17 others like this.
  2. 10 Comments so far...

  3. 7
    another similar to that is to have them take a deep breath, hold it, then try to squeeze two fingers of each of my hands as hard as they can. works well!
    Jules A, caliotter3, tommys girl, and 4 others like this.
  4. 1
    Quote from Sweetooth EMT-P, RN
    hi all,


    Have the patient take a deep breath in and hold it while trying to lift both legs up off stretcher at the same time. I know this sounds silly, but trust me when I say it works to vagal them!


    Sweetooth
    Yes, but they usually fart:spin:
    melsman1904 likes this.
  5. 1
    Hey, relief is relief!
    casi likes this.
  6. 0
    I have had patient's bear down while holding their breath in a sitting position or on the commode-what you mention sounds similar. A doc told me that's what did Elvis in-----too many pain pills leading to chronic constipation & just pushing too hard dropped his heart rate down. Don't know if it's true or not; but, he was found dead on the bathroom floor; and, the doc's story seems credibile. Love telling the patients that one when I want them to avoid vagaling (? is it even a word) down. Use the holding breath, bearing down myself sometimes when my heart is telling me I had one too many cups of coffee-It usually works on the first try.
  7. 0
    Quote from zenman
    Yes, but they usually fart:spin:

    havent had that happen yet, better than having them poop trying vasalva which never seems to work anyway.

    "tooth
  8. 2
    Thanks for the suggestion. It makes good sense. I once had a 30-something male on tele who went into rapid SVT. I ran down the hall to his room, and there he was, hanging off the far side of the bed. I thought he was a goner! When I got around the bed, he was leaned over, throwing up in the trashcan.I got him back onto the bed, and listened to his heart, which was in a nice, regular rhythm, with a decent rate. I was convinced that he was having an MI, but his skin was pink/tan, W/D, he had no pain, no SOB, no nausea. After I determined all of that, I asked had he been having abdominal pain. Nope. "Whenever my heart gets to going fast, I just stick my finger down my throat and throw up. It always stops it." This baby nurse learned a lot that day!
  9. 0
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  10. 1
    As a person who has gone into SVT several times for no apparent reason... I Thank You Very Much!
    BostonNurse2876 likes this.
  11. 0
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