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Gag Reflex

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81. 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

82. Complete dentures: an update on clinical assessment and management: part 2. (PubMed)

on the management of edentulous patients. This second part focuses on the copy denture technique as well as discussing strategies for assessing and managing gag reflexes, prominent palatal and lingual tori and microstomia.

2018 British Dental Journal

83. Combined Conventional Speech Therapy and Functional Electrical Stimulation in Dysphagia Following Stroke

for dysphagia - PARD [ Time Frame: 5 days (before and immediately after intervention) ] Before feeding: Comprehensive language, oral reflexes(vomiting, trismus, deglutition) and sialorrhea- present or absent Inside oral and facial sensitivity- present or reduced During feeding (liquid, thick and pasty): Captation, anterior and posterior escape, cough reflex and gagging- present or absent Oral transit time, number of swallowing, laryngeal elevation- adequate or inadequate Voice normal or "wet" Functional (...) swallowing- there are changes that do not compromise safe feeding as reduced sensitivity (intra-oral or facial), anterior escape due to small anatomical or functional changes Mild dysphagia- multiple swallowing, inadequate laryngeal elevation, "wet" voice but cough reflex efficient Moderate dysphagia- multiple swallowing, inadequate laryngeal elevation, "wet" voice, weak cough reflex and gagging one or more consistencies Severe dysphagia- when there is no evidence of coughing, swallowing reflexes

2018 Clinical Trials

84. Effect of Shortening the Palatal Extension of the Mouthguard on the Degree of Satisfaction of Water Polo Players

the mouthguard just after each training session or after each match. Degree of discomfort regarding the gag reflex while using the mouthguard [ Time Frame: Weeks 1-4 ] The degree of discomfort regarding the gag reflex while using the mouthguard was assessed by asking the question "How much do you think wearing the mouthguard causes a gag reflex?" using a 0-10 point scale (considering 0= Not at all to 10= very much). Players rated the mouthguard just after each training session or after each match. Degree

2018 Clinical Trials

85. Evaluation of Providing Coffee to Patients Postoperatively to Decrease Length of Stay in the PACU

Patients will receive coffee in a Styrofoam cup at a temperature of 125 degree Fahrenheit or less. Coffee will be offered to the patient in the PACU once the patient's gag reflex has been restored following their procedure. Volume of estimated coffee consumption will be measured using a sample scale (with a maximum of 300mL of coffee offered) No Intervention: Patients not receiving coffee postoperatively Patients who self-identify as coffee drinkers and do not receive coffee postoperatively Outcome

2018 Clinical Trials

86. MEBO Ointment and Hyaluronic Acid Gel in the Management of Pain After Free Gingival Graft Harvesting

Eligible for Study: 21 Years to 62 Years (Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Patients with mucogingival defects scheduled for free gingival graft Systemically healthy Exclusion Criteria: Smokers Occlusal trauma at site of graft Pregnancy and lactation Patients allergic to the used agents Severe gagging reflex Contacts and Locations Go to No Contacts or Locations Provided More Information Go to Publications: Layout table for additonal

2018 Clinical Trials

87. Rapid Reversal of CNS-Depressant Drug Effect Prior to Brain Death Determination

-Pupillary light reflex with bright light. 3-Corneal reflexes with the use of cotton swab or tissue paper. 4-Gag reflex with a tongue depressor looking for bilateral palatal elevation. 5-Cough with tracheal suctioning at the carinal level) and GCS re-evaluated Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more

2018 Clinical Trials

88. Protocolized Ventilator Weaning Verses Usual Care

and the result of a SBT. Pre-defined weaning criteria included: (1) patent upper airway; (2) ability to protect airway (defined by mental status and presence of adequate gag and cough reflexes); (3) ability to clear secretions; (4) decreasing secretion burden requiring suction not more frequently than every 2 hours; (5) level of support (FiO2 < 50%, PEEP = 5); and (6) hemodynamic stability not requiring chemical (vasopressors, inotropes) or mechanical (e.g. intra-aortic balloon pump, extracorporeal life (...) . At the end of the SBT, the RSBI was re-measured and an arterial blood gas (ABG) was obtained. In the UC group, the SBT type and extubation decision was determined by the attending intensivist on service based upon neurologic status, airway competence (gag, cough, suction requirements), and negative inspiratory force (NIF) or RSBI measurements. Extubation success was defined as remaining extubated for 48 hours without need for re-intubation or other forms of non-invasive MV. Study Design Go to Layout

2018 Clinical Trials

89. Controlled Phonation and Vocal Rest Programs After Acute Vocal Exertion in Healthy Adults

) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: within age range Exclusion Criteria: Voice Disorders Strong gag reflex Craniofacial disorders Cognitive Impairments Head and Neck Cancer Hearing Difficulties Dentition problems that prevent an oral scope being placed in mouth Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact

2018 Clinical Trials

92. Meningitis (bacterial) and menigococcal septicaemia in under 16s: recognition, diagnosis and management

in the management of critically ill children. 1.4.37 Undertake tracheal intubation and mechanical ventilation for the following Meningitis (bacterial) and meningococcal septicaemia in under 16s: recognition, diagnosis and management (CG102) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 27 of 39indications: threatened (for example, loss of gag reflex), or actual loss of airway patency the need for any form of assisted

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

93. [Comparison of jaw thrust and trapezius squeezing test as indicators for laryngeal mask airway insertion in infants and young children]. (PubMed)

Children's Hospital. The patients were randomly divided into jaw thrusting group (Group J, n=50)and trapezius squeezing group(Group T, n=50). Anesthesia was induced with sevoflurane. When children's eyelash reflex lose, jaw thrust/trapezius squeeze was applied every 15 seconds.It's considered that the depth of anesthesia was not enough, and test reaction was positive if any movements of body, limbs or toes were found at the point of test. Sevoflurane should be keep on inhalation until negative test (...) reaction was appeared. Then LMA was inserted immediately.The time required for the negative test, end-tidal sevoflurane concentrations (ETsev), the index of Narcotrend anesthesia monitor(NT), the occurrence of gross purposeful movements, coughing, gagging, breath-holding, laryngospasm or an SpO2 < 90% during LMA insertion in two groups of patients were observed and recorded. The condition of LMA insertion and the rate of successful insertion were evaluated. The blood pressure(BP), heart rate(HR

2017 Zhonghua yi xue za zhi

94. Chewing in Children With Repaired Esophageal Atresia-tracheoesophageal Fistula

Intervention/treatment Children with chewing dysfunction Descriptive characteristics including age, height, weight, transition time to additional food, meal time, number of meals, initial teething time, and number of teeth, were noted. The presence of open mouth, open bite, high palate, gag reflex, and oral hygiene were scored as absent or present as an observational oral motor assessment. Chewing evaluation was performed and scored with the Karaduman Chewing Performance Scale (KCPS). The International (...) of teeth, were noted. The presence of open mouth, open bite, high palate, gag reflex, and oral hygiene were scored as absent or present as an observational oral motor assessment. Chewing evaluation was performed and scored with the Karaduman Chewing Performance Scale (KCPS). The International Dysphagia Diet Standardisation Initiative (IDDSI) was used to determine the tolerated food texture of children. Other: Chewing evaluation Each child was required to bite and chew a standardized biscuit while

2017 Clinical Trials

95. Orexin and Tau Pathology in Cognitively Normal Elderly

but not limited to diverticulitis and inflammatory bowel disease. History of disorders or impairment of the gag reflex. Previous gastrointestinal surgery. Previous felinization of the esophagus. Subjects who might undergo Nuclear Magnetic Resonance (NMR) or MRI scanning during the period that the CorTemp® Disposable Temperature Sensor is within the body. Subjects hypomotility disorders of the gastrointestinal tract including but not limited to Ileus. Contacts and Locations Go to Information from the National

2017 Clinical Trials

96. PH Metry Study to Compare the Antacid Activity of Z0063 Versus Gaviscon Double Action Tablets, in Healthy Adult Subjects

meal. Any subject with difficulty in chewing and swallowing. Any subject with strong gag reflex. Any intake of aluminium and magnesium containing antacids or other alginate-containing medicinal products within 14 days before inclusion. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor

2017 Clinical Trials

97. Peripheral Modulation of Muscle Stiffness and Spasticity

either hyaluronidase plus saline (treatment arm, n=25) or normal saline (control arm, n=25) injections. Both the assessors and the patients will be blind to group assignment. All patients will be assessed at three time points: (1) pre-injection, (2) 1-2 weeks post-injection, and (3) 12-14 weeks post-injection. Assessments will be performed pre-injection and 1-2 weeks post-injection for joint range of motion, muscle strength by EMG MVC, upper limb motor impairment and function, stretch reflex testing (...) on intramuscular GAG content by proton T1p relaxation mapping on muscle MRI. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 50 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double (Participant, Care Provider) Primary Purpose: Treatment Official Title: Peripheral Modulation of Muscle Stiffness and Spasticity Estimated Study Start Date : June 2019 Estimated Primary Completion Date : December 2020

2017 Clinical Trials

98. Optimal dose of succinylcholine for laryngeal mask airway insertion: systematic review, meta-analysis and metaregression of randomised control trials. (PubMed)

failure rate and its related coughing and gagging when compared with mini dose.The use of succinylcholine compared with none can facilitate LMA insertion and reduce insertion-related reflexes without significant postoperative myalgia. However, additional prospective studies with a larger sample size are required to fully evaluate the dose-dependent effect and complications of succinylcholine for LMA insertion.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article (...) that succinylcholine reduced the first-attempt LMA insertion failure rate (RR, 0.22; 95% CI 0.12 to 0.43), coughing and gagging (RR, 0.26; 95% CI 0.15 to 0.45) and laryngospasm (RR, 0.14; 95% CI 0.05 to 0.39). The use of succinylcholine did not result in a significant increase of postoperative myalgia (RR, 2.58; 95% CI 0.79 to 8.44) and did not reduce the risk of postoperative sore throat (RR, 0.76; 95% CI 0.55 to 1.03). Subgroup analysis further showed that low-dose succinylcholine reduced the LMA insertion

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2017 BMJ open

99. The Middle Ear Cleft Status in a "Natural" Cohort With Eustachian Tube Dysfunction. (PubMed)

damage, requiring tracheotomy and gastrostomy. These patients were unable to swallow, produce valsalva, yawn, and needed oral suctioning. Examination included fiberoptic nasopharyngoscopy, gag reflex and soft palate assessments, otoscopy, and tympanometry.Nineteen patients (38 ears) were evaluated: 14 men and 5 women, aged 18 to 93 years (average 59). Duration of gastrostomy and tracheotomy were between 3 months and 18 years. All the patients lacked gag reflex, palatal movements, or supraglottic

2017 Otology and Neurotology

100. Lidocaine spray alone is similar to spray plus viscous solution for pharyngeal observation during transoral endoscopy: a clinical randomized trial. (PubMed)

and viscous solution (combination group, n = 170). We compared the number of pharyngeal observable sites (non-inferiority test), pain by visual analogue scale, observation time, and the number of gag reflexes between the two groups. Results The mean number of images of suitable quality taken at the observable pharyngeal sites in the spray group was 8.33 (95 % confidence interval [CI]: 7.94 - 8.72) per patient, and 8.77 (95 % CI: 8.49 - 9.05) per patient in the combination group. The difference (...) in the number of observable pharyngeal sites was - 0.44 (95 % CI: - 0.84 to - 0.03, P = 0.01). There were no differences in pain, observation time, or number of gag reflexes between the 2 groups. Subgroup analysis of the presence of sedation revealed no differences between the two groups for the number of pharyngeal observation sites and the number of gag reflexes. However, the number of gag reflexes was higher in the spray group compared to the combination group in a subgroup analysis that looked

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2017 Endoscopy international open

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