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Zetterstrm, P., Graffmo, K

Increasing incidence and geographic distribution of neonatal abstinence syndrome: United States 20092012

The Valsalva maneuver, commonly employed during heavy lifts, causes acute increases in systolic blood pressure (up to 300400 mmHg) and heart rate reduction via baroreceptor reflex, followed by post-lift hypotension (145)