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Gag Reflex

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61. Resuscitated from ventricular fibrillation: what is the ECG Diagnosis?

hour down time prior to being resuscitated. She has been without sedation for several hours and has no corneal or gag reflexes per the primary team. There is enough evidence to call into question her neurological viability at this time, thus a left heart catheterization would be of questionable utility.” Autopsy, day 7: Anoxic brain injury with total cerebral necrosis 99% stenosis of the proximal LAD, with acute transmural infarct of the anterior and anterolateral walls of the LV 75% stenosis LCx

2016 Dr Smith's ECG Blog

63. Nasojejunal (NJ) and orojejunal (OJ) management

opportunity ( ). NJ/OJ tubes - introduction Jejunal tube feeding is the method of feeding directly into the small bowel. The feeding tube is passed by the nose or mouth into the oesophagus, on into the stomach, through the pylorus and into the duodenum or jejunum. This type of feeding can also be known as duodenal, post-pyloric or trans-pyloric feeding. Some indications for use: absent gag reflex severe gastro oesophageal reflux delayed gastric emptying persistent vomiting ( ) Contraindications: upper GI

2015 Great Ormond Street Hospital

64. Recommendations for the Management of Cerebral and Cerebellar Infarction with Swelling

physiological parameters, but early extubation in patients with a decompressive craniectomy for cerebellar infarcts can be problematic because of abnormal oropharyngeal function, lack of strong cough, and copious thick secretions. 90 The presence of a cough and gag reflex and normal eye movements may predict successful extubation. 91 Airway and Mechanical Ventilation: Recommendations 1. Maintaining normocarbia is reasonable (Class IIa; Level of Evidence C). 2. Intubation may be considered for patients (...) infarction, a decrease in level of consciousness occurs as a result of brainstem compression and therefore may include early loss of corneal reflexes and the development of miosis. Standardized definitions should be established to facilitate multicenter and population-based studies of incidence, prevalence, risk factors, and outcomes. Identification of patients at high risk for brain swelling should include clinical and neuroimaging data. If a full resuscitative status is warranted in a patient

2014 Congress of Neurological Surgeons

65. Sedation for Patients in ICU

.) Underlying lung disease. Ventilator disconnection Prolonged patient inspiratory time. Sedation is a common solution for managing patients who “fight” the ventilator but it may not always be the best answer. Coughing and gagging are very deep reflexes and are used in the brain stem death testing. The presence of a cough reflex should not be used to assess the depth of sedation. If coughing is interfering with ventilation and the patient is already deeply sedated, then muscle relaxants should be considered (...) cooperative and communicative than patients sedated with other drugs in the intensive care setting. Dexmedetomidine depresses the gag reflex and improves endotracheal tube tolerance when compared with other sedatives (87), (88). The cardiovascular effects should not be under emphasised however. Boluses of dexmedetomidine result in a biphasic response; there is an initial peripheral effect causing vasoconstriction resulting in hypertension and a reflex bradycardia and ultimately, a central effect causing

2014 Intensive Care Society

66. Nasopharyngeal airway (NPA)

is to be sized correctly in patients: if the airway is too short it will fail to separate the soft palate from the pharynx and if too long it can pass into the larynx and aggravate cough and gag reflexes ( ). The NPA primarily acts as a 'splint' which maintains patency of the airway, or keeps the tongue from falling back on the posterior pharyngeal wall and occluding the airway, therefore preventing airway obstruction, hypoxia and asphyxia ( ). NPAs are generally well tolerated by conscious children

2014 Great Ormond Street Hospital

67. Mouth care

to swallow or observe the swallowing process. Ask the parent/carer if there are any notable changes. Observe the swallowing process to check the child or young person's ability to do so, any pain experienced, or pooling/dribbling of secretions. If there are any doubts about the swallow and gag reflex, the child or young person should be referred to a speech and language therapist for further assessment. Lips and corner of the mouth Observe the appearance of tissue. It should be smooth, pink and moist

2014 Great Ormond Street Hospital

68. Efficacy and safety of using premedication with simethicone/Pronase during upper gastrointestinal endoscopy examination with sedation: A single center, prospective, single blinded, randomized controlled trial. (PubMed)

lidocaine hydrochloride mucilage (LHM, N = 314) and premedication used in the intervention group was 80 mL simethicone/Pronase solution plus 10 mL lidocaine hydrochloride mucilage (SP/LHM, N = 296). EGD was done under sedation. Visibility scores, number of mucosal areas that needed cleansing, water consumption for cleansing, time taken for examination, diminutive lesions, pathological diagnosis, patients' gag reflex and oxygenation (pulse oximetry) were recorded.SP/LHM has significantly lower total (...) rate of diagnosis of atrophic gastritis (P = 0.014) and intestinal metaplasia (P = 0.024). There was no significant difference in gag reflex (P = 0.604) and oxygenation during the endoscopy procedure for either group of patients.Routine use of premedication with simethicone/Pronase should be recommended during EGD with sedation.© 2017 Japan Gastroenterological Endoscopy Society.

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2018 Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society

69. Fetus delivery time in extraperitoneal versus transperitoneal cesarean section: a randomized trial. (PubMed)

tubal ligation were excluded from the study. The primary outcome of the study was the skin incision-to-delivery time. The sample size was set to detect of 1-minute difference in fetal delivery time between groups (two-tailed hypothesis, α = 0.05, β = 0.10). Secondary outcome measures were total operation time, intraoperative nausea, gag reflex, vomiting, pain and anxiety for those receiving regional anesthesia, postoperative pain, change in hemoglobin, postoperative analgesic requirements, nausea

2018 The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

70. Clinical marginal fit of zirconia crowns and patients' preferences for impression techniques using intraoral digital scanner versus polyvinyl siloxane material. (PubMed)

, size of impression tray/scanner, gag reflex, and overall preference. Computer-aided design and computer-aided manufacturing monolithic zirconia crowns were fabricated from both impressions. The crowns were evaluated intraorally, and a blinded examiner measured the marginal discrepancy of silicone replicas under a stereomicroscope. Intraexaminer reliability was evaluated by calculating the intraclass correlation coefficient. Data for patients' preferences and marginal discrepancies were analyzed

2018 The Journal of prosthetic dentistry

71. Ketamine for Endoscopic Sedation in Outpatient Adult Endoscopy.

of a questionnaire administered to the provider following the procedure with questions detailing different aspects of the procedure. Answers will be summed and the scores are normalized to a scale of 0-100 (high scores denote higher satisfaction). Criteria for discharge are at least 30 minutes elapsed since the last dose of sedative medication was administered, presence of protective reflexes (swallow and gag), stable vital signs, patient passes trial of ambulation (if was ambulating prior to procedure

2018 Clinical Trials

72. Easy Stretch Toolkit: A Pilot Study

the forehead, puffing out the cheeks, among other actions Screening of cranial nerve function for CN IX [ Time Frame: completed at week 1 ] function of cranial nerve IX as measured by presence of gag reflex Screening of cranial nerve function for CN IX [ Time Frame: completed at week 8 ] function of cranial nerve IX as measured by presence of gag reflex Screening of cranial nerve function for CN X [ Time Frame: completed at week 1 ] function of cranial nerve X as measured by saying "ah" Screening (...) ] function of cranial nerve III and IV as measured by following a finger for letter "H" Screening of cranial nerve function for CN III and IV [ Time Frame: completed at week 8 ] function of cranial nerve III and IV as measured by following a finger for letter "H" Screening of cranial nerve function for CN V [ Time Frame: completed at week 1 ] function of cranial nerve V as measured by corneal reflex test, clenching the teeth, among other actions Screening of cranial nerve function for CN V [ Time Frame

2018 Clinical Trials

73. Role of Ultrasound in Laryngeal Lesions

, not all patients can tolerate the laryngoscope especially those with a sensitive gag reflex, patients with limit of jaw or neck mobility or patients suffering from stridor. It is also difficult in most infants and children . Even during laryngoscopy the exact extension of laryngeal tumor, its infiltration and invasion of the laryngeal skeleton can sometimes be hard to assess. Thus, laryngoscopy alone may not be sufficient in some cases to judge the extent of infiltrative processes or measure the exact

2018 Clinical Trials

74. Evaluation of Post-Exposure Sauna Treatment of Firefighters

by the Scottsdale Fire Department Are scheduled for a training fire exercise by the Scottsdale Fire Department in the next year Are currently a non-smoker (including cigarettes, cigars and e-cigarettes) Cannot have any contraindications to the core temp pill, which are: weight less than 80 pounds known or suspected obstructive disease of GI tract, including but not limited to diverticulitis and inflammatory bowel disease exhibit or have a history of disorders or impairment of the gag reflex have had a previous

2018 Clinical Trials

75. Complete dentures: an update on clinical assessment and management: part 1. (PubMed)

denture provision and is designed to act as a refresher on core aspects of managing these patients, while also covering common challenges associated with anatomical or patient factors. This first part will explore changes in the provision and teaching of complete denture care in the UK and will describe important aspects of patient examination. It will discuss the management of unstable lower dentures and fibrous replacement ridges. Part two will cover management of the gag reflex, tori, microstomia

2018 British Dental Journal

76. The Determination of an Appropriate Time for Placement of the Classic Laryngeal Mask Airway in Patients Undergoing General Anesthesia (PubMed)

selected based on the following prerequisites, patients' age, gender, easy intubation, need for additional drug administration, basic blood pressure before drug administration, within the time intervals one, three, and five minutes after placement of LMA, duration of LMA, SaO2 before and after placement of LMA, coughing, patient's movement, laryngospasm, gag reflex after intubation, allowing appropriate ventilation, presence of sore throat after surgery, number of attempts, extent of mouth opening

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2018 Anesthesiology and pain medicine

77. Bilateral total retinal detachment at birth: a case report of Walker–Warburg syndrome (PubMed)

hydrocephalus that had increased throughout pregnancy, and a diagnosis of hydrancephaly was made at 36 weeks of gestation. Hypotonia, cleft lip and palate, poor suck and absent gag reflex were noted at birth. Ophthalmic examination at the age of 2 days revealed bilateral funnel retinal detachment. B-scan ultrasonography confirmed these findings, and magnetic resonance imaging (MRI) of the brain was performed at the age of 13 days to establish a diagnosis. The MRI showed lissencephaly, hydrocephalus and thin

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2018 International medical case reports journal

78. Improvement of severe myalgic encephalomyelitis/chronic fatigue syndrome symptoms following surgical treatment of cervical spinal stenosis (PubMed)

criteria for ME/CFS and orthostatic intolerance, and were later found to have cervical spinal stenosis. Overall function was assessed before and after surgery using the Karnofsky score and the SF-36 physical function subscale score.Neurological findings included > 3+ deep tendon reflexes in 2 of 3, a positive Hoffman sign in 2 of 3, tremor in 2 of 3, and absent gag reflex in 1 of 3. The cervical spine canal diameter in the three patients ranged from 6 to 8.5 mm. One had congenital cervical stenosis

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2018 Journal of translational medicine

79. Neurological Prognostications for the Therapeutic Hypothermia among Comatose Survivors of Cardiac Arrest (PubMed)

(PLR) and/or gag reflex after rewarming, and the absence of at least one of the brainstem reflexes, no eye-opening, or abnormal motor response on the 7th day. Myoclonus and seizure could not be used to indicate poor prognosis. In addition, prognostic values of EEG and CT findings were inconclusive.Our study showed the simple neurological signs helped predict short-term neurological prognosis. The most reliable sign determining unfavorable outcome was the lack of PLR. The optimal time to assess

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2018 Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

80. Acoustic and Perceptual Markers of Dysarthria in Amyotrophic Lateral Sclerosis (ALS)

lateral sclerosis (ALS) which involves the degeneration of both systems. ALS patients will be gathered in clinical groups according to electromyogram (EMG) and clinical signs observed in the bulbar site. UMN signs are defined as jaw clonus, gag reflex and pseudobulbar features (lability). LMN signs are defined as lingual atrophy and fasciculations. The dysarthria will be compared to dysarthria of patients involving an exclusive UMN system degeneration (in primitive lateral sclerosis) and an exclusive (...) degeneration on one side and LMN degeneration on the other side. The investigators will compare acoustic and perceptual features between the recorded speech of different clinical groups. Clinical groups will be made according to clinical signs and EMG. The clinical signs for UMN involvement in the bulbar region are: gag reflex, jaw clonus, pseudobulbar features (lability). The clinical signs for LMN involvement are: lingual atrophy and fasciculation. The population will be composed by groups of ALS-LMN

2018 Clinical Trials

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