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Clinical Review

Stress ulcer prophylaxis: The case for a selective approach

Mary Beth Bobek, PharmD and Alejandro C. Arroliga, MD
Cleveland Clinic Journal of Medicine November 1997, 64 (10) 533-542;
Donald G. Vidt
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Mary Beth Bobek
Critical care pharmacist, Cleveland Clinic
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Alejandro C. Arroliga
Acting director of the Medical Intensive Care Unit and director of the fellowship program, Department of Pulmonary and Critical Care, Cleveland Clinic
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ABSTRACT

Although stress-related mucosal damage is common (and potentially serious) in critically ill patients, the risk of clinically significant gastrointestinal bleeding appears to be confined to patients with certain factors: mechanical ventilation, coagulopathy, multiple trauma, increased intracranial pressure, and multi-organ dysfunction. Because prophylactic therapy also poses risks, we advocate reserving it for patients in these high-risk groups.

  • Copyright © 1997 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 64 (10)
Cleveland Clinic Journal of Medicine
Vol. 64, Issue 10
1 Nov 1997
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Stress ulcer prophylaxis: The case for a selective approach
Mary Beth Bobek, Alejandro C. Arroliga
Cleveland Clinic Journal of Medicine Nov 1997, 64 (10) 533-542;

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Stress ulcer prophylaxis: The case for a selective approach
Mary Beth Bobek, Alejandro C. Arroliga
Cleveland Clinic Journal of Medicine Nov 1997, 64 (10) 533-542;
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