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Gag Reflex

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21. Sexual correlates of gagging and dental anxiety. (PubMed)

, who applied for sex therapy at the Sexual Medicine Center, Sheba Medical Center, Tel-Hashomer, Israel, completed the following sexual and dental functioning questionnaires: International Index of Erectile Function (men only), Female Sexual Function Index and difficulties with sexual penetration (women only), dental anxiety, gagging reflex and dentist preference (entire population).Higher gagging reflex was associated with problems in sexual penetration and history of sexual abuse in women (...) (especially one that included vaginal penetration). It was also associated with dental anxiety and higher preference for dentist of the same gender for both genders.The study shows that gagging reflex can bear sexual connotations, especially in women.

2012 Community dental health

22. Management of gag reflex for patients undergoing dental treatment [Cochrane Protocol]

Management of gag reflex for patients undergoing dental treatment [Cochrane Protocol] Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing

2015 PROSPERO

23. Management of exaggerated gagging in prosthodontic patients using glossopharyngeal nerve block (PubMed)

Management of exaggerated gagging in prosthodontic patients using glossopharyngeal nerve block When gag reflex becomes abnormally active, it poses difficulty for the prosthodontists, as it hinders the process of fixed partial denture construction beginning with tooth preparation till impression making. In this case-report, the authors used a nerve block technique which is popular among anaesthetist and otolaryngologist, but is being applied in the field of prosthodontics for the first time

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2011 BMJ case reports

24. What is the relationship between the Glasgow Coma Scale and airway protective reflexes in the Chinese population? (PubMed)

What is the relationship between the Glasgow Coma Scale and airway protective reflexes in the Chinese population? To describe the relationship of gag and cough reflexes to Glasgow coma score (GCS) in Chinese adults requiring critical care.Prospective observational study of adult patients requiring treatment in the trauma or resuscitation rooms of the Emergency Department, Prince of Wales Hospital, Hong Kong. A long cotton bud to stimulate the posterior pharyngeal wall (gag reflex) and a soft (...) tracheal suction catheter were introduced through the mouth to stimulate the laryngopharynx and elicit the cough reflex. Reflexes were classified as normal, attenuated or absent.A total of 208 patients were recruited. Reduced gag and cough reflexes were found to be significantly related to reduced GCS (p=0.014 and 0.002, respectively). Of 33 patients with a GCS≤8, 12 (36.4%) had normal gag reflexes and 8 (24.2%) had normal cough reflexes. 23/62 (37.1%) patients with a GCS of 9-14 had absent gag

2011 Resuscitation

25. Impact of Anesthetic Choice (Sevoflurane Versus Desflurane) on Airway Reflex Recovery in the Context of Antagonized Neuromuscular Block

Impact of Anesthetic Choice (Sevoflurane Versus Desflurane) on Airway Reflex Recovery in the Context of Antagonized Neuromuscular Block Impact of Anesthetic Choice (Sevoflurane Versus Desflurane) on Airway Reflex Recovery in the Context of Antagonized Neuromuscular Block - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning (...) You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Impact of Anesthetic Choice (Sevoflurane Versus Desflurane) on Airway Reflex Recovery in the Context of Antagonized Neuromuscular Block The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier

2010 Clinical Trials

26. Does granisetron eliminate the gag reflex? A crossover, double-blind, placebo-controlled pilot study. (PubMed)

Does granisetron eliminate the gag reflex? A crossover, double-blind, placebo-controlled pilot study. Although gagging is a frequent problem that, when severe, can jeopardize the dental procedure, no single protocol is used to alleviate this phenomenon. Selective 5-HT3 antagonists, such as granisetron, may attenuate gagging. In this study, granisetron and placebo were administered intravenously, in a crossover, double-blind manner, to 25 healthy volunteers in 2 different sessions. Gagging

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2009 Anesthesia progress

27. Outpatient biopsy for diagnosis of suspicious lesions of the larynx pharynx and tongue base

are not able to sit for a prolonged time, have a strong gag reflex or have respiratory distress or poor cardiopulmonary function. Context (includes organisational issues) ? In NHS Greater Glasgow and Clyde (NHS GG&C), the ENT department performs over 700 general anaesthetic operating theatre biopsies each year. ? Based on an NHS GG&C departmental audit, 20-30% of patients who have head and neck cancer will be offered treatment with palliative intent at diagnosis. ? The availability of the outpatient biopsy

2019 Evidence Notes from Healthcare Improvement Scotland

28. Aspiration pneumonia

of disease include lung abscess and empyema. Definition Aspiration pneumonia results from inhalation of oropharyngeal contents into the lower airways that leads to lung injury and resultant bacterial infection. It commonly occurs in patients with altered mental status who have an impaired gag or swallowing reflex. The bacteriology and presentation of aspiration pneumonia have changed over the past five decades. Older studies characterised an anaerobic pleuropulmonary syndrome, with necrotising pneumonia

2018 BMJ Best Practice

29. Foreign body ingestion

male sex (adults) gastrointestinal tract narrowing mechanical disorders of the gastrointestinal tract chemical dependence intellectual disability mental illness inmates or people engaged in criminal activities dental disorders hurried eating impaired gag reflex history of underlying oesophageal disease, surgery, or procedure seizure disorder Diagnostic investigations x-rays of neck, chest, abdomen FBC urea and electrolytes prothrombin time/INR PTT oxygen saturation faecal occult blood testing hand (...) the gastrointestinal tract. History and exam presence of risk factors dysphagia non-specific abdominal pain stridor and wheezing drooling gagging, nausea/vomiting, neck/throat pain atypical chest pain or non-cardiac chest pain choking signs of upper gastrointestinal obstruction lower gastrointestinal bleeding odynophagia fever, poor feeding, failure to thrive, and irritability (in children) acute or chronic asthma-like symptoms or recurrent pneumonia signs of sepsis sign of acute drug intoxication age <15 years

2018 BMJ Best Practice

30. Scoliosis

scoliometer measurement of >5° at paraspinal prominence symmetric abdominal reflexes shoulder asymmetry waist-line asymmetry thoracic wall or breast asymmetry normal gag reflex truncal decompensation positive FHx peak adolescent growth spurt Diagnostic investigations clinical exam standing PA x-rays of cervical, thoracic, and lumbar spine, and pelvis standing lateral x-rays of cervical, thoracic, and lumbar spine, and pelvis MRI of cervical, thoracic, lumbar, and sacral spine, and brainstem Treatment

2018 BMJ Best Practice

31. Acute respiratory failure

cyanosis loss of airway/gag reflex anxiety headache hypoventilation cardiac rhythm disturbances underlying neuromuscular disorder drug use seizure coma asterixis papilloedema cigarette smoking young age elderly age pulmonary infection chronic lung disease upper airway obstruction lower airway obstruction alveolar abnormalities perfusion abnormalities cardiac failure peripheral nerve abnormalities muscle system abnormalities opiate and sedative medicines toxic fumes and gases traumatic spinal injury

2018 BMJ Best Practice

32. Assessment of cranial nerve mononeuropathy

in the evaluation of glossopharyngeal, vagal, and spinal accessory neuropathy. Semin Ultrasound CT MR. 1987;8:284-300. Nerve testing The gag reflex is absent if a nerve palsy is present, as the afferent impulse is carried by the glossopharyngeal nerve. Vagus (X) Anatomy The vagus nerve exits the brainstem just below the glossopharyngeal nerve, at the pontomedullary junction, traverses the cerebellopontine angle, and exits the cranium through the jugular foramen. The first main branch of the vagus nerve (...) droop and deviation of the uvula to the contralateral side. Lesions distal to pharyngeal branches, or a lesion of the recurrent laryngeal nerve itself, present with isolated hoarseness. The gag reflex is absent, as the efferent limb is formed by the vagus nerve. Accessory (XI) Anatomy The cranial part of the accessory nerve originates from the nucleus ambiguus of the medulla and emerges from the lateral aspect of the medulla. On reaching the jugular foramen, these fibres join the vagus nerve

2018 BMJ Best Practice

33. Lung abscess

. Mansharamani NG, Koziel H. Chronic lung sepsis: lung abscess, bronchiectasis, and empyema. Curr Opin Pulm Med. 2003 May;9(3):181-5. http://www.ncbi.nlm.nih.gov/pubmed/12682562?tool=bestpractice.com History and exam presence of risk factors fever productive cough cardiac murmur cavernous (amphoric) breath sounds pleuritic chest pain constitutional symptoms cachexia pallor gingival disease halitosis absence of gag reflex dyspnoea haemoptysis rigors weakness arthralgia haemorrhagic lesions inspiratory

2018 BMJ Best Practice

34. Foreign body ingestion

male sex (adults) gastrointestinal tract narrowing mechanical disorders of the gastrointestinal tract chemical dependence intellectual disability mental illness inmates or people engaged in criminal activities dental disorders hurried eating impaired gag reflex history of underlying oesophageal disease, surgery, or procedure seizure disorder Diagnostic investigations x-rays of neck, chest, abdomen FBC urea and electrolytes prothrombin time/INR PTT oxygen saturation faecal occult blood testing hand (...) the gastrointestinal tract. History and exam presence of risk factors dysphagia non-specific abdominal pain stridor and wheezing drooling gagging, nausea/vomiting, neck/throat pain atypical chest pain or non-cardiac chest pain choking signs of upper gastrointestinal obstruction lower gastrointestinal bleeding odynophagia fever, poor feeding, failure to thrive, and irritability (in children) acute or chronic asthma-like symptoms or recurrent pneumonia signs of sepsis sign of acute drug intoxication age <15 years

2018 BMJ Best Practice

36. Foreign body aspiration

Foreign body aspiration Foreign body aspiration - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Foreign body aspiration Last reviewed: February 2019 Last updated: December 2017 Summary Inhalation of a foreign body into the larynx and respiratory tract. Symptoms include sudden onset of respiratory distress associated with coughing, gagging, or stridor. Unilateral wheezing suggests partial obstruction of the main (...) or distal bronchi. Major causes of foreign body aspiration are altered mental status from alcohol or sedative use; seizure; neurological disorders; trauma associated with a decreased level of consciousness; dental procedures; advanced or young age; disorders associated with dysphagia and impaired cough reflex. Flexible bronchoscopy confirms suspected cases of foreign body aspiration and can be used to attempt removal of the foreign body. Rigid bronchoscopy is performed if flexible bronchoscopy fails

2017 BMJ Best Practice

37. Best Practices on Use of Nitrous Oxide for Pediatric Dental Patients

to breathe through the nose. 5. nitrous oxide pollution and potential occupational exposure health hazards. Recommendations Indications for use of nitrous oxide/oxygen analgesia/anxiolysis include: 1. a fearful, anxious, or obstreperous patient. 2. certain patients with special health care needs. 3. a patient whose gag reflex interferes with dental care. 4. a patient for whom profound local anesthesia cannot be obtained. 5. a cooperative child undergoing a lengthy dental procedure. Review (...) are stable, there is no significant risk of losing protective reflexes, and the patient is able to return to preprocedure mobility. In children, analgesia/ anxiolysis may expedite the delivery of procedures that are not particularly uncomfortable, but require that the patient not move. 3 It also may allow the patient to tolerate unpleas- ant procedures by reducing or relieving anxiety, discomfort, or pain. Furthermore, it increases reaction time and reduces pressure-induced pain, but does not affect

2018 American Academy of Pediatric Dentistry

38. Dental Management of Pediatric Patients Receiving Chemotherapy, Hematopoietic Cell Transplantation, and/or Radiation Therapy

of topical anesthetics has been suggested for pain management, 11 although there are no studies available to assess the benefit and potential for toxicity. Topical anesthetics only provide short term pain relief. 11,30 Lidocaine use may obtund or diminish taste and the gag reflex 30 and/or result in a burning sensation, in addition to possible cardiovascular and central nervous system effects. Oral mucosal infections: The signs of inflammation and infec- tion may be greatly diminished during neutropenic

2018 American Academy of Pediatric Dentistry

40. CRACKCast E181 – Approach to the Geriatric Patient

Focal Weakness Acute Focal Causes ICH Ischemic Stroke SAH Tumor Acute Bilateral Causes Brainstem stroke SCI trauma infection neoplasm inflammatory Guillain-Barre Non-Focal Weakness Acute Non-Focal Causes cardiac delirium metabolic infection Chronic Non-Focal Causes anemia meds inflammation neurologic deconditioning malignancy [6] List 8 predisposing risk factors for sepsis in the elderly. See Figure 183.4 Delirium and Dementia Decreased gag and cough reflex (aspiration risk) Endocrine deficiency

2018 CandiEM

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