Which vagal maneuvers are attempted in the initial treatment for cardiac arrest with hemodynamic compromise in Wolff-Parkinson-White (WPW) syndrome?

Updated: Jan 08, 2017
  • Author: Christopher R Ellis, MD, FACC, FHRS; Chief Editor: Mikhael F El-Chami, MD  more...
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Answer

In a stable patient, various vagal maneuvers may be attempted. A bag of ice slurry to the face is very effective in infants. Older children may be able to perform a Valsalva maneuver. Creative alternatives abound, such as having a patient blow with his thumb in his mouth. Unilateral carotid sinus massage may also be attempted. Ocular compression should not be performed, because it has been associated with retinal injury.


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