Have you ever given adenosine to a patient in SVT? Yeah? Did they like it? I didn’t think so. You’ve probably also given up trying to use the Valsalva maneuver because you’ve found it doesn’t work very often. Wouldn’t it be great if there were a way to make the Valsalva more effective and, perhaps, avoid kicking the patient in the chest with adenosine? Dr. Jarvis reviews a paper in this episode that may offer just this. If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and tell your friends to subscribe (or download each episode several times… we’ve gotta beat Second Shift after all).