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Gag Reflex

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141. 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

142. 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

143. 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

144. 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

145. 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

146. 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

147. 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

148. 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

149. 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

150. 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

151. 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

152. 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 Controlled trial quality: uncertain

153. 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

156. 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

157. 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

158. 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

159. 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

160. Halitosis

scraping as this can cause damage and bleeding to the tongue. Cleaning should be repeated until no more coating material can be removed. Care should be taken to avoid triggering the gag reflex. Advise denture wearers that these should be left out at night and cleaned. The person should consult their dentist if there are any issues with the dentures or other dental prostheses, including how they fit. Give advice on antibacterial mouthwashes/toothpastes and non-antibacterial preparations, if halitosis

2014 NICE Clinical Knowledge Summaries

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