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Gag Reflex

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81. 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

82. 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

83. Complete dentures: an update on clinical assessment and management: part 2. (Abstract)

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

84. Complete dentures: an update on clinical assessment and management: part 1. (Abstract)

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

85. Improvement of severe myalgic encephalomyelitis/chronic fatigue syndrome symptoms following surgical treatment of cervical spinal stenosis (Full text)

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

2018 Journal of translational medicine PubMed abstract

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

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 Controlled trial quality: uncertain

87. 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

88. 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. (Full text)

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.

2018 Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society Controlled trial quality: uncertain PubMed abstract

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

, 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 Controlled trial quality: uncertain

90. 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

91. 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

92. The ANZICS statement on death and organ donation

and mechanical ventilation during which the preconditions for clinical determination of brain death are fulfilled and the patient is unresponsive (Glasgow Coma Score 3), has no pupil reaction to light, no cough reflex and no spontaneous breathing efforts, before clinical testing to determine brain death. Previously, a minimum of four hours was recommended, with a minimum of two hours before clinical testing was repeated. However, there has been no reported instance of clinical testing determining brain death (...) system activity in order to define criteria for abandoning ongoing intensive therapy. They referred to an isoelectric electro-encephalogram and absent evoked cerebral responses, reporting that the heart rate did not change after giving atropine while it increased after dextroamphetamine. Later in the same year, Mollaret and Goulon in Paris 14 described 23 patients with the same syndrome (deep coma with no spontaneous respiration, no reflexes, polyuria and low blood pressure if noradrenaline

2013 Clinical Practice Guidelines Portal

93. How “they” view “us”: Colton Berrett edition

to wait until I stopped gagging. She actually said that?? The first picture I saw brought to mind this thought: Those girls look just like my daughter’s friend X who suffered and almost died from anorexia when she was in her teens. If I hadn’t known her and her parents and what they were all going through, but just saw her somewhere, I would probably have contacted the proper authorities. I didn’t think anything my opinion of the individual identifying as “Quackenboss” could go any lower, but I

2018 Respectful Insolence

94. Whatever happened to Dr. Daniel Neides, a year after he was forced to leave the Cleveland Clinic because of his antivaccine rant?

already had a history of being a bad apple. Only a select few were allowed access to it. She couldn’t go on record for various reasons, and she got slapped with some kind of gag. She left critical care to put in IVs all day long in a small-town hospital. This is why I left that world. Eric Lund I was asked to help investigate the director of the cancer center to reinforce some existing suspicions that he had plagiarized some grant proposals he was reviewing. They also suspected he was pressuring

2018 Respectful Insolence

95. Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia Background Paper

engorgement. These complications can be minimised by avoiding Combitube™ use with oesophageal pathology, ensuring loss of gag reflex before insertion, using minimum cuff inflation volumes, using the small adult size (SA – 37F), applying the “Urtubia manoeuvre” 87 (bend tip up before insertion) and using a laryngoscope. The EasyTube® is a relatively new variant of the Combitube™ which has a non-latex cuff, an airway suitable for flexible bronchoscope insertion, and a single lumen distal tube (...) and emergency anaesthetic procedures. 61 The ProSeal™ serves as a rescue device for failed intubation 41 in known or unexpected difficult airways. It is also useful for establishing an airway during resuscitation in profoundly unconscious patients with absent glossopharyngeal and laryngeal reflexes when tracheal intubation is not possible. The ProSeal™ can be used with the Aintree catheter and flexible bronchoscope as a conduit for endotracheal intubation in adults 62 , but the disposable version

2012 Australian and New Zealand College of Anaesthetists

96. Management of Ischaemic Stroke (2nd Edition)

by patient swallowing 50 ml of water in 5 ml allotments. Source: Kidd D, Lawson J, Nesbitt R, MacMahon J. Aspiration in acute stroke: a clinical study with videofluroscopy. Quarterly Journal of Medicine. 1993 86:825-829. 2. Nishiwaki et al. Description: Scores 6 items including lip closure, tongue movement, palatal elevation, gag reflex, voice quality and motor speech function. Also includes a saliva swallowing test. After patient swallows 1 teaspoon of water twice, asked to drink the rest of the water (...) =alert and responsive 1=arousable to minor stimulation 2=arousable only to painful stimulation 3=reflex responses or unarousable 1b. LOC Questions – Ask patient’s age and month. Must be exact. 0=Both correct. 1=One correct (or dysarthria, intubated, foreign language). 2=Neither correct 1c. Commands – Open/close eyes, grip and release non-paretic hand. 0=Both correct (ok if impaired by weakness) 1=One correct. 2=Neither correct 2. Best Gaze – Horizontal EOM by voluntary or Doll’s. 0=Normal. 1=Partial

2012 Ministry of Health, Malaysia

97. Clinical Predictors of Oro-esophageal Tube Feeding Success in Brain Injury Patients With Dysphagia (Full text)

into two groups, based on the OE tube training success. Clinical factors assessed included age, cause of brain lesion, gag reflex, cognitive function and reasons for OE tube training failure.Of the 76 cases enrolled, 56 study patients were assigned to the success group, with the remaining 20 in the failure group. There were significant differences between these two groups in terms of age, gag reflex, ability to follow commands, and the score of Korean version of Mini-Mental Status Examination (K-MMSE (...) ). Location of the brain lesion showed a borderline significance. Multivariable analysis using logistic regression revealed that age, cause of brain lesion, gag reflex, and K-MMSE were the main predictors of OE tube training success.A younger age, impaired gag reflex and higher cognitive function (specifically a K-MMSE score ≥19.5) are associated with an increased probability of OE tube training success in dysphagic patients.

2017 Annals of rehabilitation medicine PubMed abstract

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

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

2017 BMJ open PubMed abstract

99. Feasibility and Associated Limitations of Office-Based Laryngeal Surgery Using Carbon Dioxide Lasers. (Full text)

before and after surgery.Among the 40 patients included in this study (28 men [70%] and 12 women [30%]; median [range] age, 56 [29-83] years), median follow-up time was 6.5 months (range, 1-21 months). Among the 49 procedures, 2 (4%) could not be tolerated by patients owing to severe gag reflex and laryngeal hypersensitivity, 6 (12%) could not completely evaporate lesions owing to an inadequate surgical field or laryngeal instability, and 1 (2%) led to a complication (ie, mild vocal fold wound

2017 JAMA otolaryngology-- head & neck surgery PubMed abstract

100. Collet-Sicard Syndrome With Hypoglossal Nerve Schwannoma: A Case Report (Full text)

Collet-Sicard Syndrome With Hypoglossal Nerve Schwannoma: A Case Report Collet-Sicard syndrome is a rare syndrome that involves paralysis of 9th to 12th cranial nerves. We report an uncommon case of schwannoma of the hypoglossal nerve in a 39-year-old woman presented with slurred speech, hoarse voice, and swallowing difficulty. Physical examination revealed decreased gag reflex on the right side, decreased laryngeal elevation, tongue deviation to the right side, and weakness of right trapezius

2017 Annals of rehabilitation medicine PubMed abstract

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