{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T02:26:45Z","timestamp":1784168805326,"version":"3.55.0"},"reference-count":10,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2016,6,29]]},"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The Valsalva manoeuvre is commonly used in EDs to terminate supraventricular tachycardia by the patient blowing into a syringe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify whether a specific syringe size can be recommended for use in the ED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>20% of syringes \u2018stuck\u2019 and required high pressures to move. In the remaining 80% of syringes, a 20\u2005mL syringe was the most appropriate size to achieve the recommended 40\u2005mm\u2005Hg. Once \u2018released\u2019 plunger position did not make a difference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Use of a syringe of any size cannot be recommended if a consistent pressure is required.<\/jats:p><\/jats:sec>","DOI":"10.1136\/emermed-2016-205869","type":"journal-article","created":{"date-parts":[[2016,7,23]],"date-time":"2016-07-23T03:10:14Z","timestamp":1469243414000},"page":"748-749","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Valsalva using a syringe: pressure and variation"],"prefix":"10.1136","volume":"33","author":[{"given":"Hilary Sarah","family":"Thornton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed H","family":"Elwan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph A","family":"Reynolds","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy J","family":"Coats","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,7,22]]},"reference":[{"key":"2024052701410124000_33.10.748.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2003.10.044"},{"key":"2024052701410124000_33.10.748.2","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1111\/j.1442-2026.1997.tb00555.x","article-title":"Vagal manoeuvres and drug therapy for terminating paroxysmal supraventricular tachycardias","volume":"9","author":"Bonnin","year":"1997","journal-title":"Emergency Medicine"},{"key":"2024052701410124000_33.10.748.3","first-page":"8","article-title":"The Valsalva manoeuvre: a critical review","volume":"26","author":"Taylor","year":"1996","journal-title":"SPUMS"},{"key":"2024052701410124000_33.10.748.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-6723.2009.01228.x"},{"key":"2024052701410124000_33.10.748.5","doi-asserted-by":"crossref","unstructured":"Smith G , Dyson K , Taylor D , et al . Effectiveness of the Valsalva Manoeuvre for reversion of supraventricular tachycardia (Review). The Cochrane Library 2013;(3):CD009502. doi:10.1002\/14651858.CD009502.pub2","DOI":"10.1002\/14651858.CD009502.pub2"},{"key":"2024052701410124000_33.10.748.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-6723.2004.00628.x"},{"key":"2024052701410124000_33.10.748.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(88)92008-9"},{"key":"2024052701410124000_33.10.748.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(98)70277-X"},{"key":"2024052701410124000_33.10.748.9","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.1016\/S0140-6736(15)61485-4","article-title":"Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial","volume":"386","author":"Appelboam","year":"2015","journal-title":"The Lancet"},{"key":"2024052701410124000_33.10.748.10","unstructured":"MHRA. Medical devices in general and non-medical products\u2014reminder of risks (MDA\/2010\/001). Secondary Medical devices in general and non-medical products\u2014reminder of risks (MDA\/2010\/001), 2010. https:\/\/www.gov.uk\/drug-device-alerts\/medical-device-alert-medical-devices-in-general-and-non-medical-products-reminder-of-risks"}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emermed-2016-205869","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T08:41:39Z","timestamp":1716799299000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emermed-2016-205869"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,22]]},"references-count":10,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2016,9,20]]},"published-print":{"date-parts":[[2016,10]]}},"alternative-id":["10.1136\/emermed-2016-205869"],"URL":"https:\/\/doi.org\/10.1136\/emermed-2016-205869","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"value":"1472-0205","type":"print"},{"value":"1472-0213","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,22]]}}}