Stress-induced ulcer bleeding in critically ill patients.

  title={Stress-induced ulcer bleeding in critically ill patients.},
  author={Tauseef Ali and Richard F. Harty},
  journal={Gastroenterology clinics of North America},
  volume={38 2},
Increased knowledge of risk factors and improved ICU care has decreased the incidence of stress-related bleeding. Not all critically ill patients need prophylaxis for SRMD and withholding such prophylaxis in suitable low-risk candidates is a reasonable and cost-effective approach. Mechanical ventilation for more than 48 hours and coagulopathy are the main risk factors for stress-induced upper GI bleeding. Although intravenous H2RAs can prevent clinically important bleeding, their benefits seem… CONTINUE READING
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