Reliable block of the gag reflex in one minute or less

Saliba, David L; McCutchen, Thomas A.; Laxton, Melissa J.; Miller, Scott; Reynolds, John E.

doi:10.1016/j.jclinane.2009.02.003

Cited by 13 publications

(4 citation statements)

References 3 publications

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“…Additionally, the NT airway is well tolerated by both conscious and sedated patients, as it is less prone to induce a gag reflex because the lingual branch of the glossopharyngeal nerve is responsible for the gag reflex and this is bypassed. 4 One unique design feature is the anatomically correct curvature of the NT airway, which places the tip of the tube directly over the glottic opening. The nasopharyngeal airway can be easily inserted after the length of the airway is approximated (distance from the nares to the auditory meatus of the ear), and the nasal airway can be dilated with minimal bleeding and discomfort.…”

Section: Discussionmentioning

confidence: 99%

A simple approach to facilitating fiberoptic intubation in the difficult airway

Heir

Kupferman

2011

The Laryngoscope

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Section: Discussionmentioning

confidence: 99%

A simple approach to facilitating fiberoptic intubation in the difficult airway

Heir

Kupferman

2011

The Laryngoscope

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“…Infiltration of 2% lignocaine hydrochloride into the palatoglossal fold or in the anterior faucial pillar has been used as an effective modality by. This works by blocking the lingual branch of glossopharyngeal nerve 26,27 …”

Section: Management Of Gag Reflexmentioning

confidence: 99%

Gagging and its management—A review

Parakh

2022

Oral Science International

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Gagging is a physiologic reaction that is protective in nature. Gagging is commonly seen during dental procedures, and patients who have a sensitive gag reflex can be a challenge to manage. Gagging during dental procedures often causes interruption in the dental treatment, or in rare instances, the treatment has to be postponed. Gagging makes it difficult to perform dental treatment, and there are various methods that are advocated in the literature. Managing a patient with an exaggerated gag reflex is a challenge, and effective and right approach to the management can go long way for the patient. This review aims to highlight the various options of preventing or reducing gagging in patients.

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“…Several different strategies have been used to overcome the GR, including auricular acupuncture, palm pressing devices, or nerve block anesthesia [3][4][5]. However, current clinical applications of these methods are often not practical.…”

Section: Introductionmentioning

confidence: 99%

“…Although the glossopharyngeal nerve is considered to be the main afferent pathway for GR, which contributes to oropharyngeal mucosa sensation, tactile stimulation from areas innervated by the trigeminal nerve, such as the anterior faucial pillars, the base of the tongue and the soft palate may also elicit the GR [4][5][6][7][8][9]. It is worth noting that the trigeminal nerve allows for paradoxical preservation of the GR after a glossopharyngeus lesion [10].…”

Section: Introductionmentioning

confidence: 99%

An Earplug Technique to Reduce the Gag Reflex during Dental Procedures

et al. 2014

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Background: The gag reflex is a frequent problem occurring during dental treatment procedures, especially while making impressions of the maxillary teeth. The present study aims to evaluate the efficacy of a simple earplug as an external auditory canal stimulator to supress the profound gag reflex and as a second step, to map areas of the oropharynx suppressed by this technique. Methods: In the first step of the study, 90 patients who had a gag reflex during the impression procedure were allocated to a study group, a sham group, and a control group for evaluating the efficacy of the earplug technique. Second, 20 new patients with a gag reflex were included in order to map the oropharnygeal areas suppressed by this technique. Results: The severity of the gag reflex was reduced in the earplug group (but not in the sham or the control group). The affected area included the hard palate, uvula, and the tongue but not the posterior wall of oropharynx. Conclusion: An earplug technique can be a useful, practical, and effective tool to overcome the gag reflex during oral procedures, such as impression procedures of maxillary teeth.

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Reliable block of the gag reflex in one minute or less

Cited by 13 publications

References 3 publications

A simple approach to facilitating fiberoptic intubation in the difficult airway

A simple approach to facilitating fiberoptic intubation in the difficult airway

Gagging and its management—A review

An Earplug Technique to Reduce the Gag Reflex during Dental Procedures

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