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Gag Reflex

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141. 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

142. Long-term outcomes of percutaneous radiofrequency thermocoagulation for glossopharyngeal neuralgia: A retrospective observational study. Full Text available with Trip Pro

" 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.

2016 Medicine

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

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

144. Propofol-Based Sedation Versus General Anesthesia for Endoscopic Submucosal Dissection. Full Text available with Trip Pro

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

2016 Medicine

145. Design, development and validation of a new laryngo-pharyngeal endoscopic esthesiometer and range-finder based on the assessment of air-pulse variability determinants Full Text available with Trip Pro

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

2016 Biomedical engineering online

146. A survey of the intravenous sedation status in one provincial dental clinic center for the disabled in Korea Full Text available with Trip Pro

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

2016 Journal of Dental Anesthesia and Pain Medicine

147. Modified mallampati classification in determining the success of unsedated transesophageal echocardiography procedure in patients with heart disease: simple but efficient Full Text available with Trip Pro

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

2016 Cardiovascular ultrasound

148. 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

149. 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

150. 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

151. 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

152. 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

153. 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

154. 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

155. 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

156. 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

157. 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

158. 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

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

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

160. Elongated Uvula Causing Chronic Cough: Role of the Modified Uvulopalatoplasty Procedure. (Abstract)

offer this group of patients cure for their chronic cough.Institutional Review Board-approved retrospective chart review.Patient demographics, medical history, associated symptoms, prior treatment remedies, and response to mUPP were recorded and analyzed for 30 patients who underwent an in-office mUPP.The majority of patients were middle-aged, nonsmoking females with symptoms of globus sensation and a gag reflex when lying supine. 96.7% of patients reported complete resolution or noticeable (...) Elongated Uvula Causing Chronic Cough: Role of the Modified Uvulopalatoplasty Procedure. A subset of patients previously diagnosed with idiopathic chronic cough were found to have an elongated uvula contacting the laryngeal surface of the epiglottis and inducing a cough reflex. These patients were successfully treated with an in-office modified uvulopalatoplasty procedure (mUPP) at our institution. We aim to further categorize this subset of patients and describe the mUPP that can potentially

2015 Rhinology and Laryngology

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