Stress ulcer prophylaxis for critically ill children: routine use needs to be re-examined
نویسندگان
چکیده
منابع مشابه
Pharmacoeconomic analysis of stress ulcer prophylaxis for critically ill patients.
The objective of this study was to evaluate the economic outcomes of drug options for stress ulcer prophylaxis in critically ill and/or intensive care unit patients. Decision analytic modelling was used to compare the costs of stress ulcer prophylaxis and possible clinical outcomes [acute upper gastrointestinal bleeding (AUGB) and nosocomial pneumonia]. The regimens evaluated were: antacids, hi...
متن کاملUpdate on stress ulcer prophylaxis in critically ill patients.
Mitchell J. Spirt is an assistant clinical professor of medicine in the Division of Gastroenterology, University of California, Los Angeles School of Medicine, Los Angeles, Calif, and is the chief of gastroenterology at Century City Doctors Hospital in Century City, Calif. Sandra Stanley is a gastrointestinal staff nurse at the Specialty Surgical Center in Beverly Hills, Calif. Optimal manageme...
متن کاملWe No Longer Need to Stress Ulcer Prophylaxis in the Critically Ill
Preventing stress gastropathy has been a mainstay in the management of critically ill patients for decades. A landmark trial in 1994 identified the most significant risk factors for stress gastropathy as mechanical ventilation for greater than 48 h and primary coagulopathy. Since this study's publication more than two decades ago, the incidence of clinically significant gastrointestinal bleedin...
متن کاملGastric Ulcer Prophylaxis in the Critically Ill Equine Neonate
Introduction Gastric ulcer disease has been recognized in foals and adult horses. It is a complex disease and lesions vary in anatomic distribution, severity and cause. In the neonatal foal (<30 days of age) gastric ulcers and mucosal desquamation have been documented in clinically normal foals [1-4]. Due to this finding many clinicians feel it is necessary to treat critically ill neonates prop...
متن کاملWeighing risks and benefits of stress ulcer prophylaxis in critically ill patients
BACKGROUND Recent observational studies suggest that bleeding from stress ulceration is extremely uncommon in intensive care unit patients. Furthermore, the risk of bleeding may not be altered by the use of acid suppressive therapy. Early enteral tube feeding (initiated within 48 h of intensive care unit admission) may account for this observation. Stress ulcer prophylaxis may, however, increas...
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ژورنال
عنوان ژورنال: Anales de Pediatría (English Edition)
سال: 2021
ISSN: 2341-2879
DOI: 10.1016/j.anpede.2021.03.001