Document Detail


Does granisetron eliminate the gag reflex? A crossover, double-blind, placebo-controlled pilot study.
MedLine Citation:
PMID:  19562886     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although gagging is a frequent problem that, when severe, can jeopardize the dental procedure, no single protocol is used to alleviate this phenomenon. Selective 5-HT3 antagonists, such as granisetron, may attenuate gagging. In this study, granisetron and placebo were administered intravenously, in a crossover, double-blind manner, to 25 healthy volunteers in 2 different sessions. Gagging levels were recorded before and after administration, as were BP, pulse, and O2 saturation. Recorded results were analyzed with the use of tests for nonparametric values (P = .05). A significant increase in the depth of swab insertion was noted after administration of both placebo and drug. The increase in drug effectiveness correlated with decreased body weight. The true efficacy of granisetron in gagger patients with this treatment protocol has yet to be fully established, although it has been theorized that an increased dosage of granisetron may have a better effect.
Authors:
Silvina Friedlander Barenboim; Vladislav Dvoyris; Eliezer Kaufman
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anesthesia progress     Volume:  56     ISSN:  0003-3006     ISO Abbreviation:  Anesth Prog     Publication Date:  2009  
Date Detail:
Created Date:  2009-06-30     Completed Date:  2009-07-14     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0043533     Medline TA:  Anesth Prog     Country:  United States    
Other Details:
Languages:  eng     Pagination:  3-8     Citation Subset:  D    
Affiliation:
Department of Oral Medicine, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Weight
Cross-Over Studies
Double-Blind Method
Female
Gagging / prevention & control*
Granisetron / administration & dosage,  therapeutic use*
Humans
Injections, Intravenous
Male
Serotonin Antagonists / administration & dosage,  therapeutic use*
Chemical
Reg. No./Substance:
0/Serotonin Antagonists; 109889-09-0/Granisetron
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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