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Gag Reflex

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81. 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

82. 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

83. 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

86. 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

87. [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

88. 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

89. 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

90. 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

91. 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

92. 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

93. 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

94. 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

95. In any situation, listening is always best. Doctors should remember that.

. They are so big. I just have a hard time getting them down. So, I just gave up taking my pills.” I looked at him and smiled. “You do realize that you can cut those pills into halves and quarters?” He looked down. Obviously not. “Okay,” I said, “let’s come up with a plan that doesn’t require you to swallow big pills all the time. I know that it’s not easy when you have a strong gag reflex and have to take big pills. Let’s find something that works well for you.” He smiled broadly and seemed to relax. I

2017 KevinMD blog

96. Feasibility and Associated Limitations of Office-Based Laryngeal Surgery Using Carbon Dioxide Lasers. (PubMed)

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

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2017 JAMA otolaryngology-- head & neck surgery

97. Collet-Sicard Syndrome With Hypoglossal Nerve Schwannoma: A Case Report (PubMed)

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

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2017 Annals of rehabilitation medicine

98. Efficacy Study of the Medical Device TRP Snorlessâ„¢ in the Treatment of Snoring

fingers) Intolerable gag reflex Known nasal septal deviation Neck circumference > 46 cm Patient currently treated for OSA Patient with AHI≥30 events/hour or with AHI>15 and (SFI) Sleep Fragmentation Index > 20 Patient currently treated for central sleep apnoea Addiction to alcoholic beverages (5 drinks per day per NIAAA) Under constant pharmacological treatment for depression, anxiety, chronic pain, insomnia Hypertrophy of tonsils Macroglossia Hypertrophy of uvula Primary gastroesophageal reflux Any

2017 Clinical Trials

99. Alveogyl and Gelatin Sponge in the Management of Pain After Epithelialized Free Gingival Graft Harvesting

graft harvesting Systemically healthy Exclusion Criteria: Severe gagging reflex Smokers Occlusal trauma at site of graft Pregnancy Psychiatric disorder Patients allergic to the used agents Contacts and Locations Go to No Contacts or Locations Provided More Information Go to Layout table for additonal information Responsible Party: Karim ehab gerges, Principal Investigator, Cairo University ClinicalTrials.gov Identifier: Other Study ID Numbers: 1792013 First Posted: January 18, 2018 Last Update

2017 Clinical Trials

100. Effect of Nebulized Lidocaine on the Quality of Laryngeal Mask Airway Insertion

% oxygen for 3 minutes via mask gently placed over the face and thereafter Propofol 2.5 mg/kg slowly IV plus Fentanyl 1 µg/kg IV will be used for induction of anesthesia, and isoflurane for maintenance of anesthesia in both groups. After confirming sufficient level of anesthesia (loss of eye lash reflex and jaw relaxation), the standard technique for LMA insertion (Brain,s method) will be used in both groups. Water based jelly will be applied on the posterior surface of the LMA and pressed along (...) : Mouth opening (3: full; 2: partial; 1: none) Ease of insertion (3: easy; 2: difficult; 1: impossible) Swallowing (3: nil; 2: slight; 1: gross) Coughing or gagging (3: nil; 2: slight; 1: gross) Head or limbs movement (3: nil; 2: slight; 1: gross), and Laryngospasm (3: nil; 2: partial; 1: total). Total score Insertion condition 18 Excellent 16-17 Satisfactory <16 Poor Any failure of insertion in both groups (defined as failure to insert the LMA after 3rd time), will be managed by endotracheal

2017 Clinical Trials

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