Effect of abruptly increased intrathoracic pressure on coronary blood flow velocity in patients
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Cited by (27)
Thoracic Aortic Dissection Associated with Marijuana Use
2019, Journal of Emergency MedicineCitation Excerpt :Coughing, sneezing, and other Valsalva maneuvers not only increase intrathoracic pressure, but also alter systemic hemodynamics. First, the arterial pressure increases with a rise in intrapleural pressure, and then drops after a decrease in pleural pressure and venous tone (13). Baydin et al. report a case of an aortic dissection after a sneeze (14).
Effects of maintaining a remifentanil infusion on the recovery profiles during emergence from anaesthesia and tracheal extubation
2009, British Journal of AnaesthesiaCitation Excerpt :Smooth extubation without coughing and bucking is therefore a necessary skill for anaesthesiologists. Various drugs such as lidocaine, esmolol, diltiazem, verapamil, and opioids have been used to attenuate these physiological changes induced by tracheal extubation.15–17 Although there are rare reports on the influence of opioids on coughing during recovery, the administration of opioids at the end of anaesthesia is thought to reduce emergence-induced coughing.
Forced coughing versus local anesthesia and pain associated with cervical biopsy: a randomized trial
2008, American Journal of Obstetrics and GynecologyCitation Excerpt :It is possible that stimuli traveling along fast nerve fibers partially override painful sensations traveling along slower nerve fibers. Also a sudden rise in blood pressure caused by coughing has been discussed as the cause of pain relief.18,19 Since forced coughing reduces pain to the same amount as lidocaine injection, one can overcome the potential risk of intravascular injection or allergic reaction.
Coughing to distraction [6]
2004, British Journal of Plastic SurgeryRetrograde coronary blood flow during cardiopulmonary resuscitation in swine: Intracoronary Doppler evaluation
1994, American Heart JournalIs Forced Coughing Effective in Reducing Pain During Cervical Biopsy? A systematic review and meta-analysis
2023, Sultan Qaboos University Medical Journal
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From the Cardiology Division, St. Louis University Hospital.