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Gag Reflex

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101. 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

102. 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

103. 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

104. 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

105. 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

106. Controlled Human Infection for Vaccination Against Streptococcus Pyogenes

(exaggerated gag reflex). Any systemic corticosteroid (or equivalent) treatment in the 14 days prior to challenge, or for more than seven consecutive days within the past 3 months. Any corticosteroids, anti-inflammatory drugs (besides sporadic use of non-steroidal anti-inflammatory drugs), immunomodulators or anticoagulants in the previous 3 months, or anticipated use of such drugs during the study period. Any participant currently receiving or having previously received immunosuppressive therapy

2017 Clinical Trials

107. Oral Propranolol for Reducing Pediatric Dental Patients Anxiety

of tooth or molar anesthesia and removal (Frankl: Negative). Scoring more than 19 points on MCDAS(f). 6-9 years old healthy pediatric patients (ASA I). Indication for primary tooth or molar extraction. Fasting if indicated (severe gag reflex). Airway assessment (Mallampati and tonsillar hypertrophy). Exclusion Criteria: Asthma or other obstructive pulmonary disease. Cardiac failure. Cardiac arrhythmia. Renal failure. Insulin-dependent diabetes mellitus. Current use of another ß-adrenoreceptor

2017 Clinical Trials

108. Clinical Predictors of Oro-esophageal Tube Feeding Success in Brain Injury Patients With Dysphagia (PubMed)

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.

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2017 Annals of rehabilitation medicine

109. Ultrasound Guided Quadratus Lumborum Block Versus Caudal Block in Pediatric Patient

-invasive blood pressure. After preoxygenation for three minutes, anesthesia would be induced with 8% sevoflurane inhalation in 50% oxygen and % 50 air ; 1ug/kg fentanyl and 3 mg/kg propofol is administered intravenously. Then laryngeal mask is inserted when conditions are satisfactory (jaw relaxed, lash reflex disappeared, no coughing, gagging, swallowing).After ethical committee approval, informed written consent will be obtained from all patients. Consenting patients scheduled to have unilaterally

2017 Clinical Trials

110. Effect of Allopurinol for Hypoxic-ischemic Brain Injury on Neurocognitive Outcome

or hyperexcitability) Severe muscular hypotonia or hypertonia, Absent or insufficient spontaneous respiration (e.g., gasping only) with need for respiratory support at 10 min postnatally Abnormal primitive reflexes (absent suck or gag or corneal or Moro reflex) or abnormal movements (e.g., potential clinical correlates of seizure activity) Exclusion criteria gestational age below 36 weeks birth weight below 2500 g postnatal age >30min at the end of screening phase severe congenital malformation or syndrome

2017 Clinical Trials

111. Oral Flurbiprofen Spray for Mucosal Graft Harvesting at the Palatal Area

on the experimental sites before, no smoking, no pregnancy or lactation. Exclusion Criteria: hypersensitivity to flurbiprofen, history of allergy to NSAIDs, having coagulation disorders, presence of gagging reflex. Contacts and Locations Go to No Contacts or Locations Provided More Information Go to Layout table for additonal information Responsible Party: Sıla Çağrı İşler, PhD, Gazi University ClinicalTrials.gov Identifier: Other Study ID Numbers: 36290600/66 First Posted: May 24, 2017 Last Update Posted: May 24

2017 Clinical Trials

112. A Randomized Trial of 4% Nebulized Lignocaine vs. 10% Lignocaine Spray in Patients Undergoing Flexible Bronchoscopy

lignocaine have similar efficacy as topical anaesthetics in fiberoptic bronchoscopy but patients preferred the nebulized route. Noitasaeng et.al. concluded in their study that spraying lidocaine took less time to start the procedure, with greater ease of instrumentation, less incidence of hypersecretion, less gag reflex, and smooth operation during the procedure but patients preferred nebulized lidocaine administration. At the investigators' center, it has been a routine practice to perform flexible

2017 Clinical Trials

113. Accuracy of the Sensory Test Using the Laryngopharyngeal Endoscopic Esthesiometer in Obstructive Sleep Apnea

has made more than 50 laryngopharyngeal sensory tests. Other: Laryngopharyngeal sensory test The sensory measurements will include thresholds for laryngeal adductor reflex, cough reflex, gag reflex, and psychophysical sensory thresholds at the velopharynx and hypopharynx. Non-expert rater Pulmonologist or Otolaryngologist inexperienced in laryngopharyngeal sensory evaluation: who has made minimum 5 and maximum 50 laryngopharyngeal sensory tests. Pulmonologist fellow who has completed the training (...) provided for a Pulmonologist Fellow in bronchoscopy and who has performed minimum 5 and maximum 50 laryngopharyngeal sensory testing. Other: Laryngopharyngeal sensory test The sensory measurements will include thresholds for laryngeal adductor reflex, cough reflex, gag reflex, and psychophysical sensory thresholds at the velopharynx and hypopharynx. Outcome Measures Go to Primary Outcome Measures : Laryngeal adductor reflex threshold [ Time Frame: 15 days ] Threshold at which the laryngeal adductor

2017 Clinical Trials

114. Weaning From Mechanical Ventilation in Neurological Patients

, the ability to maintain airway will be analyzed by the following variables: Number of aspirations of secretions/ nursing shift (No aspiration-0, 1 aspiration-1, 2 aspiration-2, ≥ 3 aspiration-3), cough capacity (Strong -0, Mild-1, Weak-2, Absent-3), Appearance and color of secretions: [Viscosity (liquid-0, frothy-1, thick-2, dry-3) and color (clear- 0, brown- 1, yellow-2, green-3)] and the presence of gag reflex (strong- 0, moderate- 1, weak- 2, absent- 3). A score ≤8 is considered as adequate to keep

2017 Clinical Trials

115. Role of bromocriptine in multi-spectral manifestations of traumatic brain injury (PubMed)

cases of traumatic brain injury in minimally conscious state were enrolled in the study. After hemodynamic stability, bromocriptine was given at paediatric dose of 3.75 mg/d and adult dose of 7.5 mg/d. It was administered through a naso-gastric (NG) feeding tube in the patients with minimally conscious state, then changed to oral route after proper swallowing and good gag reflex were ensured in the patient. The drug was slowly reduced over three weeks after neurological improvement in the patients

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2017 Chinese Journal of Traumatology

116. Efficacy of atomised local anaesthetic versus transtracheal topical anaesthesia for awake fibreoptic intubation (PubMed)

A patients received 4-5mL of 4% atomised lignocaine using DeVilbiss atomiser before AFOI. Patient comfort assessed objectively by the anaesthetic assistant during the procedure, ease of intubation assessed using cough and gag reflex score, time taken to intubate and the haemodynamic changes during the procedure were compared.Ease of intubation, patient comfort and the time taken to intubate were significantly better in Group T patients, with P = 0.001, 0.009 and 0.019, respectively, compared

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2017 Indian journal of anaesthesia

117. Emergency Airway Management Part 1: Optimizing the basics

) If simple airway positioning is not sufficient, insert an oropharyngeal or a nasopharyngeal airway. Frequently, more than one is required. It is reasonable to place 2 nasopharyngeal airways and an oropharyngeal airway at the same time time to facilitate bag valve mask ventilation. Oropharyngeal airway Ensure that an oropharyngeal airway is appropriate for the patient. The patient should be unconscious, without a gag reflex. To choose the correct sized airway, place one end at the tip of the chin (...) reserved for the end of algorithms, as rescue devices, they can also be used early in the algorithm as the primary means of ventilation. (Braude 2007; Mosier 2015) The LMA can only be placed in patients without airway reflexes – the same patients who will tolerate an oral airway. You can use medications to facilitate LMA placement. Darren Braude has described using classic RSI medications, but proceeding directly to an LMA rather than intubation as “rapid sequence airway”. (Braude 2007

2017 First10EM

118. Poor consistency in evaluating South African adults with neurogenic dysphagia (PubMed)

used to analyse the data and the small qualitative component was subjected to textual analysis.There was high frequency of use of 41% of the clinical components in more than 90% of participants (n = 38). Less than 50% of participants frequently assessed sensory function and gag reflex and used pulse oximetry, cervical auscultation and indirect laryngoscopy. Approximately a third of participants showed high (30.8%), moderate (35.9%) and poor (33.3%) consistency of practice each. Nurses, food

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2017 The South African Journal of Communication Disorders

119. Childhood Laryngeal Dystonia Following Bilateral Globus Pallidus Abnormality: A Case Study and Review of Literature (PubMed)

structures and their connections with cortical areas have been involved in the pathogenesis of dystonia.In this paper a 7.5-year-old boy suffering from laryngeal dystonia with bilateral lesions in Globus Pallidus is presented. The patient also suffered from swallowing problems, monotone voice, vocal tremor, hypersensitivity of gag reflex, and stuttering. Drug treatment failed to cure him; therefore, he was referred to rehabilitation therapy.In conclusion, special attention should be brought upon

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2017 Iranian journal of otorhinolaryngology

120. Evaluation of Efficacy of Intraligamentary Injection Technique for Extraction of Mandibular Teeth-A Prospective Study (PubMed)

was derived for Duration of Anaesthesia (DA).Various advantages were seen such as, localized soft tissue anaesthesia, decreased PI (SD=0.83), and minimal PP (SD=0.94). The DA (SD=4.62) and mean value of 24.06 minutes.This study is one of its kinds where intraligamentary injection has been used for extraction of mandibular molars. It was also successfully used in patients with exaggerated gag reflex and patients suffering from trismus due to oral submucous fibrosis. The intraligamentary injection technique

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2017 Journal of clinical and diagnostic research : JCDR

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