Phase 2 trial of chewing lignocaine soaked gauze: a novel method to recuse gag reflex

Background and aim : The gag reflex has been a hindrance for instrumentation of pharyngeal area. Hence a better method to reduce the gag reflex is investigated. This study aimed to look at the feasibility of chewing lignocaine soaked gauze to reduce gag reflex besides identifying the optimum dosage...

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Main Authors: Jasmani, Asraf Haslam, Wan Mokhtar, Wan Muhamad Mokhzani, Che Rahim, Nur Amalina, Mohd. Ridzuan, AS
Format: Article
Published: Surgical Society of Northern Greece 2020
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author Jasmani, Asraf Haslam
Wan Mokhtar, Wan Muhamad Mokhzani
Che Rahim, Nur Amalina
Mohd. Ridzuan, AS
author_facet Jasmani, Asraf Haslam
Wan Mokhtar, Wan Muhamad Mokhzani
Che Rahim, Nur Amalina
Mohd. Ridzuan, AS
author_sort Jasmani, Asraf Haslam
collection UPM
description Background and aim : The gag reflex has been a hindrance for instrumentation of pharyngeal area. Hence a better method to reduce the gag reflex is investigated. This study aimed to look at the feasibility of chewing lignocaine soaked gauze to reduce gag reflex besides identifying the optimum dosage of lignocaine. Patients and method: This is phase two, 3 arms, double-blinded, randomized control trial where participants were divided into three groups that received either gauze soaked with 160 mg or 320 mg lignocaine or with water base on computer-generated block randomization and were assessed by two assessors at the end of 3 minutes. Result: 30 participants were recruited and divided into three groups with 1:1:1 ratio according to block randomization. Gag reflex reduction was seen highest in group B (M = 2.3, SD = 0.67) and no statistically significant changes in the control group (p = 0.343, 95% CI = -0.126, 0.326). Significant difference in gag reflex score were seen between group A and B with group C (p = 0.000, 95% CI = -2.90, 1.30) and (p = 0.000, 95% CI = -2.70, -1.10) respectively. There was no significant difference between group A and group B (p = 1.00, 95% CI = -1.00, 0.60). No difference were seen in vital signs for all groups during the study. Conclusion: Chewing lignocaine soaked gauze is a feasible method to reduce gag reflex and 320 mg lignocaine is not superior to 160 mg of lignocaine in gag reflex reduction.
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spelling upm.eprints-871402024-05-17T03:48:20Z http://psasir.upm.edu.my/id/eprint/87140/ Phase 2 trial of chewing lignocaine soaked gauze: a novel method to recuse gag reflex Jasmani, Asraf Haslam Wan Mokhtar, Wan Muhamad Mokhzani Che Rahim, Nur Amalina Mohd. Ridzuan, AS Background and aim : The gag reflex has been a hindrance for instrumentation of pharyngeal area. Hence a better method to reduce the gag reflex is investigated. This study aimed to look at the feasibility of chewing lignocaine soaked gauze to reduce gag reflex besides identifying the optimum dosage of lignocaine. Patients and method: This is phase two, 3 arms, double-blinded, randomized control trial where participants were divided into three groups that received either gauze soaked with 160 mg or 320 mg lignocaine or with water base on computer-generated block randomization and were assessed by two assessors at the end of 3 minutes. Result: 30 participants were recruited and divided into three groups with 1:1:1 ratio according to block randomization. Gag reflex reduction was seen highest in group B (M = 2.3, SD = 0.67) and no statistically significant changes in the control group (p = 0.343, 95% CI = -0.126, 0.326). Significant difference in gag reflex score were seen between group A and B with group C (p = 0.000, 95% CI = -2.90, 1.30) and (p = 0.000, 95% CI = -2.70, -1.10) respectively. There was no significant difference between group A and group B (p = 1.00, 95% CI = -1.00, 0.60). No difference were seen in vital signs for all groups during the study. Conclusion: Chewing lignocaine soaked gauze is a feasible method to reduce gag reflex and 320 mg lignocaine is not superior to 160 mg of lignocaine in gag reflex reduction. Surgical Society of Northern Greece 2020 Article PeerReviewed Jasmani, Asraf Haslam and Wan Mokhtar, Wan Muhamad Mokhzani and Che Rahim, Nur Amalina and Mohd. Ridzuan, AS (2020) Phase 2 trial of chewing lignocaine soaked gauze: a novel method to recuse gag reflex. Surgical Chronicles, 25 (1). 16 - 22. ISSN 1108-5002 https://www.surgchronicles.gr/index.php?lang=en 10.13140/RG.2.2.28291.04640
spellingShingle Jasmani, Asraf Haslam
Wan Mokhtar, Wan Muhamad Mokhzani
Che Rahim, Nur Amalina
Mohd. Ridzuan, AS
Phase 2 trial of chewing lignocaine soaked gauze: a novel method to recuse gag reflex
title Phase 2 trial of chewing lignocaine soaked gauze: a novel method to recuse gag reflex
title_full Phase 2 trial of chewing lignocaine soaked gauze: a novel method to recuse gag reflex
title_fullStr Phase 2 trial of chewing lignocaine soaked gauze: a novel method to recuse gag reflex
title_full_unstemmed Phase 2 trial of chewing lignocaine soaked gauze: a novel method to recuse gag reflex
title_short Phase 2 trial of chewing lignocaine soaked gauze: a novel method to recuse gag reflex
title_sort phase 2 trial of chewing lignocaine soaked gauze a novel method to recuse gag reflex
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