Epley Maneuver for Debris Movement
The procedure, as originally described by Epley in 1992, consisted of the following:
- Pre-medication with diazepam or Transderm-Scop given with its peak effect timed to help block nausea during the procedure.
- A series of head position changes in which eye movements were closely watched.
- Use of a vibrator during head-position changes to help break up and move the debris.
- Instructions to the patient to keep his or her head up right for 48 hours after the procedure to keep the debris from re-entering the posterior canal.