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Gag Reflex

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141. Long-term outcomes of percutaneous radiofrequency thermocoagulation for glossopharyngeal neuralgia: A retrospective observational study. (PubMed)

" or "good" pain relief condition was 73.2%, 63.0%, 53.2%, and 43.0% at 1, 3, 5, and 10 years. Postprocedure complication included dysesthesias, dysphagia, and diminished gag reflex. No mortality was observed during or after PRT procedures.This study indicates that CT-guided PRT is a safe and effective method for patients with GPN and should be considered as an alternative treatment for these patients.

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2016 Medicine

142. Extubation Failure in Brain-injured Patients: Risk Factors and Development of a Prediction Score in a Preliminary Prospective Cohort Study. (PubMed)

success. Assessment of multiparametric hemodynamic, respiratory, and neurologic functions was performed just before extubation. Extubation failure was defined as the need for ventilatory support during intensive care unit stay. Extubation failure within 48 h was also analyzed. Neurologic outcomes were recorded at 6 months.Extubation failure occurred in 43 (31%) patients with 31 (24%) within 48 h. Predictors of extubation failure consisted of upper-airway functions (cough, gag reflex, and deglutition (...) % probability of success providing the presence of at least two operating airway functions.A simplified clinical pragmatic score assessing cough, deglutition, gag reflex, and neurologic status was developed in a preliminary prospective cohort of brain-injured patients and was internally validated (bootstrapping). Extubation appears possible, providing functioning upper airways and irrespective of neurologic status. Clinical practice generalizability urgently needs external validation.

2016 Anesthesiology

143. Propofol-Based Sedation Versus General Anesthesia for Endoscopic Submucosal Dissection. (PubMed)

Propofol-Based Sedation Versus General Anesthesia for Endoscopic Submucosal Dissection. The main objective of this study is to evaluate general anesthesia or propofol-based sedation methods at gastric endoscopic submucosal dissection (ESD) procedures.The anesthetic method administered to cases undergoing upper gastrointestinal ESD between 2013 and 2015 was retrospectively investigated. Procedure time, lesion size, dissection speed, anesthesia time, adverse effects such as gag reflex, nausea

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2016 Medicine

144. Apparent Life-Threatening Events In Children

Administration 4 Apparent Life-Threatening Events In Children Apparent Life-Threatening Events In Children Aka: Apparent Life-Threatening Events In Children , Apparent Life Threatening Event In Infant , ALTE , BRUE , Brief Resolved Unexplained Event From Related Chapters II. Definition Apparent Life-Threatening Event (ALTE) Sudden, brief episode with serious findings in an infant under age 1 year Presents with apnea, or pallor, limp, or gagging Brief Resolved Unexplained Event (BRUE) Replaces Apparent Life (...) . Causes ral ALTE after age 2 months predicts serious cause Idiopathic in 50% of cases No longer thought to be near-miss (older hypothesis) Gastrointestinal (50% of diagnosed cases) disorder (Gastric , ) Neurologic (30% of diagnosed causes) Disorder (e.g. s) Vasovagal reflex Structural Disease (Budd-Chiari Syndrome) Brain Mass (or other ) (e.g. ) or (e.g. ) Respiratory (20% of diagnosed causes) Infection (RSV, , ) Obstruction ( , vocal cord, foreign body) Laryngotracheomalacia Facial anomaly Cardiac (5

2018 FP Notebook

145. Pilot Study for TCE Imaging of the Esophagus Using an OFDI Capsule With a Compact Imaging System

must have no solid food for 4 hours prior to the procedure, and only clear liquids for 2 hours prior to the procedure. Exclusion Criteria: Subjects over 70 years of age Subjects with the inability to swallow pills and capsules. Subjects with a strong gag reflex Esophageal fistula and/or esophageal strictures with a stricture diameter that is smaller than the diameter of the capsule. Pregnancy. If the subject is unsure, she will be asked to take a pregnancy test. Contacts and Locations Go

2016 Clinical Trials

146. Comparison of Spraying and Nebulized Lidocaine in Patients Undergoing Esophago-Gastro-Duodenoscopy: A Randomized Trial. (PubMed)

Comparison of Spraying and Nebulized Lidocaine in Patients Undergoing Esophago-Gastro-Duodenoscopy: A Randomized Trial. Esophago-gastro-duodenoscopy (EGD) was performed under the topical anesthesia of the pharynx. However spraying lidocaine was found to be an annoying maneuver to patients, while nebulized lidocaine appeared to efficiently suppress gags and cough reflexes in airway anesthesia. This study aimed to compare the effectiveness of spraying and nebulized lidocaine for patients (...) to start the procedure, ease for instrumentation, less gag reflex during the procedure, less presence of hypersecretion, and smooth operation. However participants favored nebulized lidocaine administration.

2016 Journal of the Medical Association of Thailand = Chotmaihet thangphaet

147. Articles of the month (April 2016)

breathing, marked change in tone, or altered level of responsiveness An event doesn’t count as a BRUE if there is a likely explanation (probably the biggest change from ALTE) Choking and gagging are specifically not considered BRUEs because they usually have an explanation such as GERD or URI A low risk BRUE is defined as all of: age >60 days, born ≥ 32 weeks and gestational age ≥ 45 weeks, no CPR by a trained medical provider, event < 1 min, and first event. For these children, they specifically say (...) ) and were given ketamine. 44 of the 49 were adequately sedated with ketamine, and 4 of the 5 not sedated were given less than 200mg ketamine IM. There were only 3 adverse events: 2 patients vomited, and 1 had his oxygen saturation drop to 90%. This obviously isn’t practice changing in itself, but ketamine is a very interesting option for sedating agitated patients because of its ability to keep respiratory drive and airway reflexes in tact. Bottom line: Ketamine is an interesting option for managing

2016 First10EM

148. A survey of the intravenous sedation status in one provincial dental clinic center for the disabled in Korea (PubMed)

January 2011 and May 2016. The analysis examined the patient's sex, age, primary reason for IV sedation, duration of anesthesia and dental treatment, type of dental treatment performed, number of clinical departments involved in the dental treatment and level of multidisciplinary cooperation, and annual trends.Most dental treatments using intravenous sedation were performed on medically disabled patients or dentally disabled patients with an extreme gag reflex or dental phobia. The mean duration of IV

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2016 Journal of Dental Anesthesia and Pain Medicine

149. Management of patients with stroke: Identification and management of dysphagia

on videofluoroscopy fail to cough. 26 Risk of aspiration is suggested by the following: 36,37 ? wet, hoarse voice ? weak voluntary cough ? any indication of reduced laryngeal function. Reduced conscious level is also an indicator of aspiration risk. 37 The gag reflex is unreliable and insensitive as an independent predictor 26 and should only be used as part of a more detailed assessment procedure (see section 3). 38 One screening study suggests that reduced pharyngeal sensation may be associated with aspiration

2010 SIGN

152. Cardiopulmonary Syndromes (PDQ®): Health Professional Version

judiciously and sparingly; they are unpleasant to the taste and obtund the gag reflex, and anaphylactic reactions to preservatives in these solutions have been documented. Opioid and nonopioid antitussives, such as dextromethorphan, may act synergistically, but further studies are required to confirm this hypothesis.[ ] Gabapentin was found to be efficacious compared with placebo for chronic refractory cough, although this study did not specifically include cancer patients.[ ] In cases of increased sputum

2014 PDQ - NCI's Comprehensive Cancer Database

153. Halitosis

, than cleaning the tongue with a toothbrush. Use a gentle scraping action, and avoid excessive scraping as this can cause damage and bleeding to the tongue. Care should be taken to avoid triggering the gag reflex. Additional information Antibacterial toothpastes and mouthwashes These preparations are widely available from supermarkets and pharmacies. Antibacterial agents that are included in mouthwashes and toothpastes include cetylpyridinium chloride, chlorhexidine, hexetidine, hydrogen peroxide

2014 NICE Clinical Knowledge Summaries

154. Jeffrey Aronson: When I use a word . . . Medical onomatopoeia

borborygmi in the chest have been reported in . To gag is to strangle or suffocate, imitating the sound made in choking. Hence, the gag reflex. By transference, a gag is something used to stop up the mouth or to keep the jaws open during surgery. Gagging for air is choking, but, in case you thought we’d worked back up the body again, gagging for it is being desperate for something altogether different. Jeffrey Aronson is a clinical pharmacologist, working in the Centre for Evidence Based Medicine

2015 The BMJ Blog

155. Cadaveric donation: brain stem death

maintained on mechanical ventilators. Brain stem death is diagnosed by performing, on two separate occasions, five simple tests which verify that: (1) the pupils are fixed and dilated and do not react to light; (2) there is no eye movement; (3) there is no ear reflex; (4) there is no pain response; and, (5) there is no gag reflex. Globally, brain death is clinically adjudged as the death of an individual. It is a clinical declaration of death whereby an individual’s life is clinically considered to have (...) their cardio-respiratory system is continuously maintained on mechanical ventilators. Brain stem death is diagnosed by performing, on two separate occasions, five simple tests which verify that: (1) the pupils are fixed and dilated and do not react to light; (2) there is no eye movement; (3) there is no ear reflex; (4) there is no pain response; and, (5) there is no gag reflex. Globally, brain death is clinically adjudged as the death of an individual. It is a clinical declaration of death whereby

2015 Evidence-Based Nursing blog

156. The AMA acts to try to rein in doctors spreading misinformation

being "muzzled" or "gagged" is utter nonsense. Medical professional societies have the right—no, the duty—to uphold professional standards, and this is all that the AMA is trying to do. In the overall scheme of things, the AMA's action probably won't do much by itself. But if it serves as a start, an action that inspires other professional societies and—dare I dream it?—even state medical boards to follow suit, it could have a real impact. Imagine, for instance, not just Dr. Oz facing professional (...) about vaccines. And if that jibes with any of a number of different confirmation biases you might have, your guard goes up without thinking too much about it: Maybe there's something to this! I don't want to take a chance with my kid! Nobody gets measles anymore anyway! Better safe than sorry... As long as this mental process stays in the background, it can proliferate. Pull it all up to the front of consciousness, really look into it past the reflex phase, and it's a very different story. Too often

2015 Respectful Insolence

158. Determining brain death in adults

of the temporomandibular joints and deep pressure at the supraorbital ridge should produce no grimacing or facial muscle movement. Absence of the pharyngeal and tracheal reflexes. The pharyngeal or gag reflex is tested after stimulation of the posterior pharynx with a tongue blade or suction device. The tracheal reflex is most reliably tested by examining the cough response to tracheal suctioning. The catheter should be inserted into the trachea and advanced to the level of the carina followed by 1 or 2 suctioning (...) integrity ensured) □ Oculovestibular reflex absent □ No facial movement to noxious stimuli at supraorbital nerve, temporomandibular joint □ Gag reflex absent □ Cough reflex absent to tracheal suctioning □ Absence of motor response to noxious stimuli in all 4 limbs (spinally mediated reflexes are permissible) Apnea testing (all must be checked) □ Patient is hemodynamically stable □ Ventilator adjusted to provide normocarbia (PaCo 2 34–45 mm Hg) □ Patient preoxygenated with 100% FiO 2 for > 10 minutes

2010 American Academy of Neurology

159. A Study to Determine if Caffeine Accelerates Emergence From Anesthesia

: Caffeine Anesthetized volunteers will be allowed to wake after injection of either saline (placebo control) or caffeine (15 mg/ kg). The time to wake will be measured. Drug: Caffeine Anesthetized volunteers will be allowed to wake after injection of caffeine (15 mg/ kg). The time to wake will be measured. Other Name: Caffeine citrate Outcome Measures Go to Primary Outcome Measures : Waking Time - Re-establishment of the Gag Reflex. [ Time Frame: followed from the end of anesthesia to gag reflex, up (...) to 2 hours ] The goal of the study is to determine whether caffeine speeds emergence from anesthesia. The time between terminating delivery of anesthetic and the subject starting to gag was measured. Anesthesia suppresses the gag reflex. Immediately after anesthetizing the test subject, a laryngeal mask airway (LMA) device was inserted into the test subject airway. After anesthesia was terminated and emergence from anesthesia was taking place, the gag reflex was re-established, and the LMA produced

2015 Clinical Trials

160. Laryngeal Tube vs Laryngeal Mask Airway

, dependant lividity) Pregnant women Conscious, intact gag reflex Known ingestion of caustic substances 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 information provided by the sponsor. Please refer to this study by its identifier (NCT number): NCT02607644 Locations Layout table for location information Singapore Singapore Civil Defence Force

2015 Clinical Trials

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