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Gag Reflex

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121. 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

122. Investigation of Efficacy of Lidocaine Spray for Sedated Esophagogastroduodenoscopy in Children (PubMed)

, and distilled water via identically scaled pump spray in group 2, in a double blinded fashion.Sedation was not applied in 24.1% of the cases in topical lidocaine spray group (LS group) and in 5.7% of the cases in distilled water spray group (DS group). Gag reflex was observed in 6.5% of cases in LS group and 33.3% of cases in DS group (p=0.024), increased oral secretion was observed in 9.3% of cases in LS group and 51.7% of cases in DS group (p=0.038), sore throat was observed in 3.7% of cases in LS group (...) and 35.6% of cases in DS group (p=0.019) and the difference was statistically significant.The study showed that topical pharyngeal lidocaine reduces both requirement and amount of IV sedation before EGD in children and sore throat, gag reflex and decreased oral secretion increase.

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2017 Pediatric gastroenterology, hepatology & nutrition

124. 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

127. 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

128. 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

129. Vegetative State 2.0

be present. The movements can vary from fast to quite slow. They can be almost constantly present, or rarely seen. 3) Automatic chewing (lips typically closed) and swallowing are frequently present. 4) Blinking is a common finding (including blinking while the lids are closed). The patient who has an essentially preserved brain stem, intact cranial nerves and end organs, will have preserved pupillary, corneal, oculocephalic, vestibulo-ocular, gag and cough reflexes. With brain stem or cranial nerve (...) for the imagery tasks could have elicited some type of cortical response independent of awareness, some kind of a very sophisticated knee-jerk reflex. Ropper suggested that instead of cuing the patients with “playing tennis” versus “relax”, Monti’s team should have asked patients “imagine playing tennis” and compared with “imagine not playing tennis”. Perhaps nothing in clinical medicine is as complex as the assessment of consciousness, thus Allan Ropper, Andrew Billings, and others(3)(13)(14)(15) all hold

2011 Clinical Correlations

130. Design, development and validation of a new laryngo-pharyngeal endoscopic esthesiometer and range-finder based on the assessment of air-pulse variability determinants (PubMed)

Design, development and validation of a new laryngo-pharyngeal endoscopic esthesiometer and range-finder based on the assessment of air-pulse variability determinants Laryngo-pharyngeal mechano-sensitivity (LPMS) is involved in dysphagia, sleep apnea, stroke, irritable larynx syndrome and cough hypersensitivity syndrome among other disorders. These conditions are associated with a wide range of airway reflex abnormalities. However, the current device for exploring LPMS is limited because (...) it assesses only the laryngeal adductor reflex during fiber-optic endoscopic evaluations of swallowing and requires a high degree of expertise to obtain reliable results, introducing intrinsic expert variability and subjectivity.We designed, developed and validated a new air-pulse laryngo-pharyngeal endoscopic esthesiometer with a built-in laser range-finder (LPEER) based on the evaluation and control of air-pulse variability determinants and on intrinsic observer variability and subjectivity determinants

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2016 Biomedical engineering online

131. Modified mallampati classification in determining the success of unsedated transesophageal echocardiography procedure in patients with heart disease: simple but efficient (PubMed)

design, 85 target patients were fulfilling the criteria: being Thai national at the age of at least 20-year-old, being performed TEE by the study participant's cardiologists, being able to communicate verbally. Seven outcomes were recorded, including gag reflex, insertion attempt, insertion time, vital signs (heart rate, oxygen saturation and mean arterial blood pressure), visible blood on TEE probe tip, and oropharyngeal pain at 1 h and 24-h.There were 85 eligible patients during June 2013 to June (...) 2014 [corrected]. The major participants were male (46, 54 %) and the mean age was 51.2 ± 12.5 years. The MMC class III was mostly found (33, 38.80 %). TEE probe insertion time and gag reflex were indicated statistical significance (P < 0.05). Linear regression revealed that MMC class III (b 3.718; SD ± 1.077; P = 0.001) and class IV (b 5.15; SD ± 1.286; P = 0.000) were statistically associated with TEE probe insertion time, whereas MMC class II was no statistically significant (b 2.348; SD ± 1.405

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2016 Cardiovascular ultrasound

132. Comparison of Two Oral Appliances in the Treatment of Sleep Apnea Syndrome

for Study: 18 Years to 65 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Sufficient teeth to allow wearing of the device Mild to severe OSAS Ability to answer the questionnaires No concomitant CPAP treatment BMI inferior to 32 kg/m2 Exclusion Criteria: Important dental or parodontal disease Central sleep apnea Jaw opening limitations Temporo-mandibular joint dysfunction Major gag reflex precluding the long-term use of the device Major

2016 Clinical Trials

133. A Safety and Efficacy Study of DCL-101 Compared to GoLyTELY

/congestive heart failure (New York Heart Association Functional Classification grade III or IV), ascites Received any investigational therapy within 60 days of randomization Blood donation within 56 days prior to randomization Plasma donation within 7 days prior to randomization Received luminal contrast agents such as barium or water-soluble oral contrast agent within 21 days prior to randomization Known to have an impaired gag reflex, or prone to regurgitation or aspiration Serious underlying disease

2016 Clinical Trials

134. Introducing and Evaluating Extubation Advisor

(SpO2 ≥ 90% with FiO2 ≤ 40% and PEEP 10 ≤ cm H20, patients who are hemodynamically stable (off vasopressors or on low levels of vasopressors: phenylephrine < 50 ug/min; norepinephrine < 5 ug/min; dobutamine < 5 ug/kg/min; milrinone< 0.4 ug/kg/min), patients whose neurological status is stable (no deterioration in the last 24 hrs, intact respiratory drive and ICP <20), patients who have intact airway reflexes (adequate cough with suctioning and a gag reflex), and patient who are in normal sinus

2016 Clinical Trials

135. Tongue Strength in Amyotrophic Lateral Sclerosis (ALS)

Inclusion Criteria: Adults and legally responsible/ valid medical insurance patients : ALS diagnostic already announced healthy subjects : EAT-10 score<2 Exclusion Criteria: Non pregnant and non baby feeding Presence of risk factor or suspicion of Creutzfeld Jacob Disease Allergy/intolerance to the glueing paste Antecedent of pathology of the aerodigestive tract Other neurologic disease Morphologic anomaly of the aerodigestive tract Excessive gag reflex Contacts and Locations Go to Information from

2016 Clinical Trials

136. Sucrose Practices for Pain in Neonates Part B

for Study: up to 10 Days (Child) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion: less than 32 weeks gestational age at birth admitted to the neonatal intensive care unit (NICU) expected to have heel lances for routine blood tests yet to reach 10 days of life at the time of study enrollment. Exclusion: known hypersensitivity to sucrose, corn, corn products or any component of the formulation short-bowel syndrome carbohydrate intolerance unable to swallow/absent gag reflex

2016 Clinical Trials

137. Obstructive Sleep Apnea

medication which disqualifies for OSA-treatment Extensive gag-reflex or claustrophobia Inadequate dental support (< 10 teeth in lower jaw) Inadequate periodontal support (no tooth mobility > Miller grade I) Anatomical abnormalities in the nasal cavity or oro-pharynx that disqualifies the use of CPAP and/or MAS Anatomical abnormalities which should be surgically corrected before treatment with CPAP and/or MAS Severely compromised general health condition Pregnancy General health issues that disqualifies

2016 Clinical Trials

138. Influenza Challenge Study in Healthy Volunteers

is type I or type II diabetic. Subject is allergic to Gentamicin. Acute use of any medication or other product, prescription or over-the-counter, for symptoms of rhinitis or nasal congestion within seven (7) days prior to challenge. This includes any corticosteroid or beta agonist containing nasal spray. An Abnormal ECG deemed clinically relevant by the Investigator(s). Any anatomic or neurologic abnormality impairing the gag reflex or conducive to aspiration, or history suggestive of such a problem

2016 Clinical Trials

139. Effect of PRF Palatal Bandage on Pain Scores and Wound Healing After Free Gingival Graft

for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: lack of keratinized tissue in the mandibular central incisor region Exclusion Criteria: smoking uncontrolled systemic disease that might contraindicate periodontal surgery severe gag reflex preventing maxillary surgical procedure inability or unwillingness to provide informed consent Contacts and Locations Go to No Contacts or Locations Provided More Information Go to Layout table for additonal information Responsible Party

2016 Clinical Trials

140. Transversus Abdominis Plane Versus Quadratus Lumborum Block for Pediatrics

, pulse oximeter and non-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

2016 Clinical Trials

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