Safety
Placing a gag on anybody is very risky, as it involves a substantial risk of asphyxia if the subject's nose is blocked while wearing a gag. Using a gag on somebody who is ill, or affected by some condition such as the common cold, catarrh, the flu, or common allergies (including sensitivities to cologne or perfume) is also quite dangerous, as most gags make it difficult or impossible to breathe through the mouth. Vomiting and choking also pose a risk, which further blocks the airway. For this reason, a gagged subject should never be left alone.
In practice, no gag is effective enough to silence someone completely without inhibiting breathing. Most gags that do stop the subject from making intelligible speech still allow loud inarticulate vocal noises to call for help. Thus, a pattern of noises, such as three grunts in rapid succession, is sometimes used as a safeword by BDSM players. It is also common to use an additional non-verbal safety mechanism, such as a solid object held in the hand, which can be released by the gagged person as a sign that they are in distress.
Read more about this topic: Gag (BDSM)
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