Heimlich, Valsalva, XXX?
July 27, 2007 4:33 AM

Heimlich, Valsalva, what other "maneuvers" are there? Curious now, because I saw some medical show on TV where a doctor fixed a dislocated shoulder with a ???? "maneuver - can't remember the name.
posted by flutable to Health & Fitness (14 answers total) 3 users marked this as a favorite


There are a stack of different ways of reducing shoulder dislocations. You might like this article about the history of various maneuvers:
"From Hippocrates to the Eskimo - a history of techniques used to reduce anterior dislocation of the shoulder"
posted by roofus at 4:54 AM on July 27, 2007


Doc's in the hospital used the Kocher's on my shoulder
posted by jannw at 5:02 AM on July 27, 2007


Here are a couple of more obscure ones:

Mueller's maneuver is inspiration against a closed glottis (vocal cords) which is the opposite of a Valsalva maeuver.

The Pethick maneuver (more commonly called Pethick test) is a way of testing the integrity of a Bain anesthesia circuit by flusshing high flow gas through it. If you want a more detailed descrition I can provide it, but it might get a little wordy.
posted by TedW at 5:15 AM on July 27, 2007


Leopold Maneuvers are used to determine fetal position.
posted by plinth at 5:44 AM on July 27, 2007


Mendelssohn's Maneuver is used to treat people who have difficulty swallowing.
posted by christinetheslp at 6:23 AM on July 27, 2007


The Epley maneuver - helps with certain kinds of balance and dizziness problems.
posted by crocomancer at 7:26 AM on July 27, 2007


After a quick google, it appears that a "reduction maneuver" is a term that describes any of several methods of relocating an anterior dislocation of the shoulder.
Anterior dislocations of the shoulder are the most common dislocations of a major joint. Many different techniques have been described to attain reduction. Among those known are the Hippocratic, simple traction, traction counteraction, traction with lateral traction, Stimson technique, Milch technique, the Kocher maneuver or modification thereof.

An external rotation method has been reported and evaluated in a paper entitled, "Closed Reduction of Anterior Subcoracoid Shoulder Dislocation", Orthopedic Review, Volume XV, No. 5, May 1986. A modified Kocher maneuver has been reported by Snell et al in Orthopedics, November 1983, Volume 6, No. 11 at page 1439. Another technique is reported by Waldion in Orthopedic Review, Volume XI, No. 4, April 1982 at page 105.
from here.
posted by Maxwell_Smart at 9:26 AM on July 27, 2007


Also, if you have access to a library or other medical resource, Stedman's Medical Dictionary lists a whole page of manuevers, from Adson to Zavanelli. And I forgot to add one that I have use on a dailt basis, the Sellick maneuver, which is pressure on the cricoid cartilage (just below the Adam's apple) to compress the esophagus and help prevent aspiration while intubating and unconscious patient.
posted by TedW at 10:30 AM on July 27, 2007


Then, of course, there's The Picard Maneuver
posted by briank at 10:36 AM on July 27, 2007


Okay, last try; a good list can be found here.
posted by TedW at 10:37 AM on July 27, 2007


Trendelenburg! Otherwise known as putting somebody's head below their heart. Or the 'flip 'em upside down' maneuver.
posted by jennyjenny at 1:22 PM on July 27, 2007


The Gaskin Maneuver, named for Ina May Gaskin, renowned midwife who has made many positive contributions to Birthing Practices and to Obstetrics.

The All-Fours Maneuver for Reducing Shoulder Dystocia During Labor
 By Joseph P. Bruner, MD, Susan Drummond, RN, MSN, Anna L. Meenan, MD, and Ina May Gaskin, MA, CPM
Journal of Reproductive Medicine, Volume 43, 439-443, May 1998

The objective of this study was to report the clinical results of eighty-two cases of shoulder dystocia managed primarily with the “All-Fours Maneuver” — which, as the name suggests, involves moving a laboring woman to her hands and knees.

"I introduced the all-fours maneuver in the United States in 1976, after learning about it from a Belizean midwife who had, in turn, learned it from Mayan midwives in the highlands of Guatemala. I became aware of the frustrations obstetricians were feeling with regard to shoulder dystocia when I read in 1985 about a case report that was published in the American Journal of Obstetrics and Gynecology (1985;152:479-84)." http://www.inamay.com/gaskin_maneuver.php
posted by kch at 6:40 PM on July 27, 2007


Fantastic answers! Thanks to all, and TedW, that *is* a great list. Thanks again.
posted by flutable at 11:03 PM on July 27, 2007


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