Executive Summary—Society of Critical Care Medicine and American Society of Health-System Pharmacists Guideline for the Prevention of Stress-Related Gastrointestinal Bleeding in Critically Ill Adults

Le résumé fourni par la source

The occurrence rate of stress-related upper gastrointestinal bleeding (UGIB) in the ICU has declined substantially over the past 25 years as clinical practice has evolved to include early initiation of enteral nutrition (EN), use of lung protective ventilation, aggressive resuscitation, and restrictive transfusion policies (1, 2). The use of stress ulcer prophylaxis (SUP), however, remains ubiquitous and may pose risks that outweigh the benefit of preventing UGIB. A multi-professional, international panel was formed to develop an evidence-based guideline for the use of SUP in the modern era of critical care medicine and to identify knowledge gaps in the current body of research. The panel has summarized the existing evidence and provides evidence-based recommendations and good practice statements on the use of SUP in critically ill adults (see full online guideline in [3]). The Population, Intervention, Comparison, and Outcome (PICO) questions included in this executive summary are presented in Table 1.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.