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Gag Reflex

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161. Comparison of dexmedetomidine-propofol versus fentanyl-propofol for insertion of laryngeal mask airway. (PubMed)

Comparison of dexmedetomidine-propofol versus fentanyl-propofol for insertion of laryngeal mask airway. Laryngeal mask airway (LMA) insertion requires anesthesia and suppression of airway reflexes. In search of an optimal drug, we compared dexmedetomidine and fentanyl, in combination with propofol for insertion of LMA.This study was a prospective double blind randomized study. Eighty patients of ASA class 1&2 were randomly divided into two groups of 40 each. Group D received dexmedetomidine 1 (...) mcg/kg and group F received fentanyl 1 mcg/kg intravenously (IV) over 2 minutes. For induction, propofol 2mg/kg was given IV and 90 seconds later LMA was inserted. We observed apnea time, heart rate, respiratory rate, non invasive blood pressure and oxygen saturation before induction, 30 seconds after induction, 1, 3, 5, 10 and 15 minutes after insertion of LMA. Patient's response to LMA insertion like coughing, gagging or any movement were noted and scored. Statistical analysis of data was done

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2015 Journal of anaesthesiology, clinical pharmacology

162. Discovering New Treatments for Asthma and COPD. A New Human Rhinvovirus for Human Challenge

healthy adults as determined by medical history, physical examination, serology (HIV and Hepatitis B and C) and clinical laboratory tests. Female subjects were required to provide of a history of reliable contraceptive practice. Exclusion Criteria:included; asthma, hypersensitivity to mercurials or chicken eggs, anatomic or neurologic abnormality impairing the gag reflex or contributing to aspiration, chronic nasopharyngeal complaints, abnormal electrocardiogram (ECG), febrile illness or significant

2015 Clinical Trials

163. Development of an Intranasal Proteosome Influenza Vaccine

: Young healthy adults as determined by medical history, physical examination, serology (HIV and Hepatitis B and C) and clinical laboratory tests. Female subjects were required to provide of a history of reliable contraceptive practice. Susceptibility to A/Panama/2007/1999 (H3N2) (a serum reciprocal HAI titre ≤10) was confirmed at screening. - Exclusion Criteria:included; asthma, hypersensitivity to mercurials or chicken eggs, anatomic or neurologic abnormality impairing the gag reflex or contributing

2015 Clinical Trials

164. Quaternary Ammonium Methacryloxy Silicate-containing Acrylic Resin

for eligibility information Ages Eligible for Study: 21 Years to 60 Years (Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Healthy individual with no history or presence of a systemic disease Absence of active caries or periodontal disease with pocket depths deeper than 4 mm Exclusion Criteria: Extensive gag reflex that precludes taking of an intraoral alginate impression Presence of cleft palate that precludes the wearing of a Hawley retainer Have been using

2015 Clinical Trials

165. The Manufacture of a New Wild-Type H3N2 Virus for the Human Viral Challenge Model

Adult Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Young healthy adults as determined by medical history, physical examination, serology (HIV and Hepatitis B and C) and clinical laboratory tests. Female subjects were required to provide of a history of reliable contraceptive practice. Exclusion Criteria:included; asthma, hypersensitivity to mercurials or chicken eggs, anatomic or neurologic abnormality impairing the gag reflex or contributing to aspiration, * chronic nasopharyngeal

2015 Clinical Trials

166. Clinical Evaluation of the Response to Chest Physiotherapy in Children With Acute Bronchiolitis

of cough reflects and presence of laryngeal stridor is a contraindication to chest physiotherapy in general. Systematic presence of gag reflex as the aspiration of secretions and coughing caused nasobucales stimulate this reflex 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 ClinicalTrials.gov

2015 Clinical Trials

167. Human Plasma Fatty Acid Oscillations

of ingestible Temperature Sensors: Screening for the contraindications listed below will occur during the physical and medical examination by a registered CTRC nurse or nurse practitioner: In any patient whose body weight is less than eighty (80) pounds. In the presence of any known or suspected obstructive disease of the gastrointestinal tract, including but not limited to diverticulitis and inflammatory bowel disease. In any patient exhibiting or having a history of disorders or impairment of the gag (...) reflex. In any patient with previous gastrointestinal surgery. In any patient having fenilization of the esophagus. In any patient who might undergo Nuclear Magnetic Resonance (NMR) or MRI scanning during the period that the CorTemp® Disposable Temperature Sensor is within the body. In any patient with hypo motility disorders of the gastrointestinal tract including but not limited to Ileus. In any patient having a cardiac pacemaker or other implanted electro medical device. Contacts and Locations Go

2015 Clinical Trials

168. Impact of Topical Pharyngeal Anesthetics on Discharge of the Patients When Used in Conjunction With Propofol Sedation in Routine EGD's

to placebo. Condition or disease Intervention/treatment Phase Topical Anesthesia Drug: Lidocaine Drug: Placebo Drug: Propofol Phase 4 Detailed Description: Local pharyngeal anesthetics when used in conjunction with IV sedatives such as benzodiazepines may ease the endoscopy and the patient tolerance. They have been believed to dull the gag reflex and smooth the process of intubation of the esophagus. However local pharyngeal anesthetics beside increasing the total procedure time and delaying (...) satisfaction with the procedure. The questionnaire will also include the number of times the patient gagged, number of intubation attempts by the gastroenterologist and post procedure what did the gastroenterologist think if Lidocaine or placebo was used during the procedure. The time after recovery from the sedatives till the patient is discharged will be recorded as the primary end point. The total number of intubation attempts, total amount of propofol used during the procedure and any above mentioned

2015 Clinical Trials

169. 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

170. 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

171. 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

172. 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

173. 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

174. 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

175. 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

176. 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

177. 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

178. 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

179. 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

180. 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

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