Which ICU patients need stress ulcer prophylaxis?

Cleve Clin J Med

Department of Pulmonary Medicine and Department of Critical Care Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH.

Published: July 2022

Critically ill patients are at an increased risk for developing stress ulcers of the mucosa of the upper gastrointestinal (GI) tract. Bleeding from stress ulcers was previously associated with a longer stay in the intensive care unit and an increased risk of death. Thus, most patients admitted to the intensive care unit receive stress ulcer prophylaxis. However, there is a growing concern that acid-suppression drugs may be associated with increased frequency of nosocomial pneumonia and infection. In this article, the authors address controversies regarding stress ulcer prophylaxis in critically ill patients and provide guidance for its appropriate use in this setting.

Download full-text PDF

Source
http://dx.doi.org/10.3949/ccjm.89a.21085DOI Listing

Publication Analysis

Top Keywords

stress ulcer
12
critically ill
8
ill patients
8
increased risk
8
stress ulcers
8
intensive care
8
care unit
8
ulcer prophylaxis
8
stress
5
icu patients
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!