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Valsalva manoeuvre: A confusing dichotomatic misnomer.

Albert Mudry1

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International Journal of Pediatric Otorhinolaryngology
|September 10, 2015
PubMed
Summary

The Valsalva manoeuvre, involving breath-holding with a closed mouth and nostrils, is correctly named despite not originating with Valsalva. However, the Valsalva manoeuvre with a closed glottis is a misnomer and should be renamed.

Keywords:
DefinitionEponymHistoryManoeuvreValsalva

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Area of Science:

  • Physiology
  • Medical History

Background:

  • The Valsalva manoeuvre is a widely recognized physiological maneuver used in clinical practice and research.
  • Understanding the historical origin of its name is crucial for accurate scientific communication.

Observation:

  • Historical analysis reveals that while Valsalva described a manoeuvre involving breath-holding against a closed mouth and nostrils in the early 18th century, he was not the first to do so.
  • Crucially, Valsalva did not describe the manoeuvre involving a closed glottis; this variation emerged in the mid-20th century.

Findings:

  • The eponymous name 'Valsalva manoeuvre' is appropriate for the version with a closed mouth and nostrils, despite the lack of sole origination by Valsalva.
  • The 'Valsalva manoeuvre' as performed with a closed glottis is a misnomer, as it was not described by Valsalva and represents a later modification.

Implications:

  • Maintaining the traditional name for the closed mouth and nostrils manoeuvre ensures continuity in medical terminology.
  • Renaming the closed glottis manoeuvre is recommended to prevent confusion and accurately reflect its historical development and physiological basis.