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Gag Reflex

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161. A tough pill to swallow? The evidence on taking medicine

struggle — for a variety of reasons —to swallow pills. , anywhere from 20 to 40 percent of people in the U.S., regardless of age, have difficulty swallowing a standard-sized pill. Reasons include anxiety about having a pill stuck in their throat, a hypersensitive gag reflex, acid reflux disease or emotional reaction to an illness. Whatever the reasons, there are ways to work though these types of swallowing difficulties. looks at interventions that can help children and adolescents overcome pill

2015 Evidence Based Living blog

162. Severe Endobronchial Inflammation Induced by Aspiration of a Ferrous Sulfate Tablet (PubMed)

Severe Endobronchial Inflammation Induced by Aspiration of a Ferrous Sulfate Tablet Iron supplements such as ferrous sulfate tablets are usually used to treat iron-deficiency anemia in some elderly patients with primary neurologic disorders or decreased gag reflexes due to stroke, senile dementia, or parkinsonism. While the aspiration of ferrous sulfate is rarely reported, it is a potentially life-threatening condition that can lead to airway necrosis and bronchial stenosis. A detailed history

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2015 Tuberculosis and respiratory diseases

163. Atrial septal defect (ASD)

of the ultrasound beam. A trade off between visibility of images and the heating up of the probe is required in some cases. Since it is difficult to repeat TEE studies frequently, either continuous or frequent recording of TEE videos during the entire study will permit reassessment by the same operator as well as an independent operator. TEE studies are invariably done in a fasting state and under topical anaesthesia of the oropharynx to reduce gag reflex. A mouth gag is needed to prevent biting and damage

2015 Cardiophile MD blog

164. There may be no bigger mystery than chronic pain

an extremely weak gag reflex, and no corneal reflex. As a child, Miss C. bit off the tip of her tongue and sustained third-degree burns from her inability to sense pain. As an adult, she developed severe erosion and infection in her knees, hip and spine from failing to shift her weight or turn over in bed known as “Charcot joint.” It is also clear that pain perception can be “turned off” in some instances. In parts of India, in an ancient agricultural ritual that is still practiced, villagers hang from

2015 KevinMD blog

165. Elongated Uvula Causing Chronic Cough: Role of the Modified Uvulopalatoplasty Procedure. (PubMed)

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

166. Clinical factors predicting risk for aspiration and respiratory aspiration among patients with Stroke (PubMed)

. The relationship between variables and strength of association using Odds Ratio (OR) was verified both in regard to Risk for aspiration and respiratory aspiration.risk for aspiration was present in 34.3% of the patients and aspiration in 30.5%. The following stood out among the risk factors: Dysphagia, Impaired or absent gag reflex, Neurological disorders, and Impaired physical mobility, all of which were statistically associated with Risk for aspiration. Note that patients who develop such a diagnosis were (...) seven times more likely to develop respiratory aspiration.dysphagia, Impaired or absent gag reflex were the best predictors both for Risk for aspiration and respiratory aspiration.

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2015 Revista latino-americana de enfermagem

167. Patient Modesty: Volume 72

). Connell (2005) would add that each masculine performance is context dependant, and masculinity can be contested at any time and place. Vulnerability in this context is epitomised by the possibility of an ‘unwanted erection,’ a situation in which a man is unable to choose between his ‘public’ and ‘private’ sexual impulses – for many young men, this reflex may represent ‘a glaring failure of privacy’ (Velleman 2001: 39) and a loss of control over their sexuality (something that may also cause them

2015 Bioethics Discussion Blog

168. Cocaine-Induced Acute Fatal Basilar Artery Thrombosis: Report of a Case and Review of the Literature (PubMed)

and preserved oculocephalic and gag reflexes. The patient was noted to have semi-rhythmic jerking movement of the right arm and extensor posturing in response to noxious stimuli. Non-contrast computed tomography (CT) of the brain showed hyperdense basilar sign consistent with acute thrombosis. On brain magnetic resonance imaging (MRI), he was found to have bilateral pons acute ischemic stroke with early petechial hemorrhagic conversion. His laboratory work-up was unremarkable except for positive cocaine

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2015 The American journal of case reports

169. Predicted EC50 and EC95 of Remifentanil for Smooth Removal of a Laryngeal Mask Airway Under Propofol Anesthesia (PubMed)

assessed in this study. Anesthesia was induced and maintained with propofol and remifentanil target-controlled infusion (TCI). Remifentanil was maintained at a predetermined Ce during the emergence period. The modified Dixon's up-and-down method was used to determine the remifentanil concentration, starting from 1.0 ng/mL (step size of 0.2 ng/mL). Successful removal of the LMA was regarded as absence of coughing/gagging, clenched teeth, gross purposeful movements, breath holding, laryngospasm (...) , or other airway reflexes.

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2015 Yonsei medical journal

170. Antioxidant Therapy in RYR1-Related Congenital Myopathy

Patients with a history of peptic ulcers, gag reflex depression, and esophageal varices. Patients with gastrostomy tubes may be considered for participation, in the case of gag reflex depression or other swallowing or feeding difficulties. Patients who have a severe pulmonary dysfunction (FEV1< 40% predicted) or evidence of pulmonary exacerbation. Pulmonary exacerbations refer to an acute worsening of respiratory symptoms that result from a decline in lung function. Participants may present

2015 Clinical Trials

171. Rigid or flexible laryngoscope: The preference of children. (PubMed)

used before both procedures. Pain sensation, gag reflex or vomiting and dyspnea or breathiness were evaluated and graded using a visual analog scale (VAS).A total of 35 patients (77.1% males, 22.9% females) with a median age of 11.3±1.8 years (range, 7-15 years) were analyzed. Group 1 consisted of patients who preferred videolaryngostroboscopy (VLS) and Group 2 consisted of patients who preferred flexible fiberoptic nasopharyngoscopy (FFN). Overall, 28 (80%) of the patients preferred (...) videolaryngostroboscopy (VLS) while 7 (20%) of the patients preferred FFN examination. In these examinations 20 patients (57.1%) felt pain, 17 (48.6%) felt irritation, 5 (14.3%) had gag reflex, and 2 (5.7%) had dyspnea. According to this data, the VLS (VAS) scores regarding gag reflex (p=0.017) and dyspnea domains (p=0.022) of the group who preferred FFL were statistically higher than those of the VLS group. No statistically significant difference was determined between the genders in respect of the VLS and FFL

2015 International Journal of Pediatric Otorhinolaryngology

172. Transversus Abdominis Plane Versus Caudal Block for Pediatrics

oximeter and non-invasive blood pressure. After preoxygenation for three minutes, anesthesia would be induced with 8% sevoflurane inhalation in 33% oxygen and 66% nitrous oxide; 1ug/kg fentanyl is administered intravenously. Then laryngeal mask is inserted when conditions are satisfactory (jaw relaxed, lash reflex disappeared, no coughing, gagging, swallowing). Anesthesia would be maintained with 2% sevoflurane and nitrous oxide. An increase in blood pressure or heart rate by more than 15% from

2015 Clinical Trials

173. A comparison to facilitate insertion of the laryngeal mask: term of recovery and postoperative nausea and vomiting after anesthesia with propofol- atracurium and thiopental-atracurium. (PubMed)

A comparison to facilitate insertion of the laryngeal mask: term of recovery and postoperative nausea and vomiting after anesthesia with propofol- atracurium and thiopental-atracurium. Laryngeal mask is a supraglothic instrument for ventilation of patients who are under anesthesia. Insertion of laryngeal mask requires maintaining sufficient depth of anesthesia to avoid airway reflex (gagging, coughing and spasms). The present study investigated two techniques of anesthesia with propofol (...) -atracurium and thiopental-atracurium to facilitate insertion of the laryngeal mask, term of recovery and postoperative nausea and vomiting. In this prospective, randomized and double-blinded clinical trial, 224 patients undergoing elective laparoscopic class ASA one and two were studied.  Patients were divided into two groups of 112 patients - one group with propofol anesthetic and thiopental-atracurium. Then after the induction of anesthesia neuromuscular hemodynamic changes, airway reflex (gagging

2015 Acta medica Iranica

174. Negative dystonia of the palate: A novel entity and diagnostic consideration in hypernasal speech. (PubMed)

characteristics, functional MRI findings, long-term management options, and outcomes. We sought patients whose clinical examination demonstrated absent palatal movement on speaking, despite normal palatal activity on other activities.Five patients (2 males, 3 females) met clinical criteria. All patients presented with hypernasal speech without associated dysphagia. Clinical examination revealed absent palatal movement on speaking despite intact gag reflexes, normal palate elevation on swallowing, and normal (...) . Calcium hydroxyapatite injection (1 patient) into the soft palate and Passavants' ridge was beneficial.This is the first report of ND of the palate. Characteristic findings were task-specific absent palatal movement with speech, despite normal movement on swallowing, coughing, and an intact gag reflex, as well as disorder-specific decreased brain activation on functional MRI. A diagnosis of ND of the palate should be considered for patients who present with hypernasal speech.4.© 2015 The American

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2015 Laryngoscope

175. Incident and Extent of Pulse Alteration During Local Anesthesia in Children

aberrant event which may occur during alteration of the pulse rate such as gag reflex, coughing, or pain related disruptive behavior will be documented on the computer in real time by another person that is not the treating dentist. All types of local anesthesia delivery will be performed by the computerized-controlled local anesthesia delivery system - Single-Tooth-Anesthesia which connected to a computer and documents continuously the amount and velocity of the local anesthetic delivered

2014 Clinical Trials

176. Safety and Efficacy of CDFR0612 and CDFR0613 for Bowel Cleansing Before Colonoscopy

) disturbance Severe dehydration risk (e.g., rhabdomyolysis, ascites) Dialysis or renal disorder (creatinine clearance <15ml/min) Suspected pulmonary aspiration or gag reflex disorder History of hypersensitivity of drug or others Alcohol or drug abuse within 6 months Clinically significant underlying disease or medical history at investigator's discretion Inability in written/verbal communication Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study

2014 Clinical Trials

177. Predictors of extubation failure in neurocritical patients identified by a systematic review and meta-analysis. (PubMed)

to close the eyes, thick secretion, and no intact gag reflex. Meanwhile, the following were not predictive for extubation failure: sex, secretion volume, coughing upon suctioning, and the inability to follow one command among showing two fingers, wiggling the toes, or coughing on command. Additionally, some traditional weaning parameters were shown to poorly predict extubation failure in neurocritical patients.Besides pneumonia, atelectasis, and the duration of mechanical ventilation, other factors (...) that should be taken into consideration in the prediction of extubation failure when neurocritical patients are weaned from tracheal intubation include neurologic abilities (Glasgow Coma Scale score and following commands), the secretion texture, and the presence of a gag reflex.

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2014 PloS one

178. Bupivacaine Lozenge Compared with Lidocaine Spray as Topical Pharyngeal Anesthetic before Unsedated Upper Gastrointestinal Endoscopy: A Randomized, Controlled Trial. (PubMed)

Bupivacaine Lozenge Compared with Lidocaine Spray as Topical Pharyngeal Anesthetic before Unsedated Upper Gastrointestinal Endoscopy: A Randomized, Controlled Trial. Unsedated upper gastrointestinal endoscopy (UGE) can induce patient discomfort, mainly due to a strong gag reflex. The aim was to assess the effect of a bupivacaine lozenge as topical pharyngeal anesthetic compared with standard treatment with a lidocaine spray before UGE. Ninety-nine adult outpatients undergoing unsedated (...) diagnostic UGE were randomized to receive either a bupivacaine lozenge (L-group, n = 51) or lidocaine spray (S-group, n = 42). Primary objective was assessment of patient discomfort including acceptance of the gag reflex during UGE. The L-group assessed the discomfort significantly lower on a visual analog scale compared with the S-group (P = 0.02). There was also a significant difference in the four-point scale assessment of the gag reflex (P = 0.03). It was evaluated as acceptable by 49% in the L-group

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2014 Clinical medicine insights. Gastroenterology

179. Clinical impact of gastroenterologist-administered propofol during esophagogastroduodenoscopy: a randomized comparison at a single medical clinic. (PubMed)

and four levels of the gag reflex, respectively. For safety purposes, endoscopists and nurses were trained in administering propofol and an anesthesiologist was on call at all times.No statistically significant differences were found between the two groups in sedation level and patient tolerability. Full recovery time in the propofol group (4.7 min) was significantly shorter than that in the midazolam group (24 min, P < 0.01).Regarding post-procedure management of patients in a medical clinic, propofol

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2014 Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association

180. The effect of chewing lidocaine soaked gauze on intubation conditions during awake videolaryngoscopy: a randomised controlled trial in the morbidly obese. (PubMed)

The effect of chewing lidocaine soaked gauze on intubation conditions during awake videolaryngoscopy: a randomised controlled trial in the morbidly obese. The increasing utilisation of the videolaryngoscope for awake tracheal intubation requires development and assessment of methods to decrease the gag reflex. We hypothesised that chewing gauze soaked with lidocaine would decrease the gag reflex during awake videolaryngoscope tracheal intubation. Twenty four morbidly obese patients assessed (...) as having a potential difficult tracheal intubation were randomised to chew gauze soaked with 20 ml of 2% lidocaine or saline for 3 minutes. All patients then received 20 ml of aerosolised 2% lidocaine and underwent awake videolaryngoscope assisted tracheal intubation. Gagging scores, heart rate and blood pressure were assessed when best laryngeal view was obtained, when the tracheal tube was positioned at the cords, and when the tube was advanced into the trachea. In addition, serum lidocaine levels

2014 Acta anaesthesiologica Belgica

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