Don’t Stress about Ulcer Prophylaxis

Survey of stress ulcer prophylaxis

BACKGROUND: No surveys of stress ulcer prophylaxis prescribing in the USA have been conducted since 1995. Since that time, the most comprehensive meta-analysis and largest randomized study to date concerning stress ulcer prophylaxis have been published. RESULTS: Three hundred sixty-eight surveys were sent to all members of the Section of Pharmacy and Pharmacology of the Society of Critical Care...

Stress ulcer prophylaxis in trauma patients

INTRODUCTION A number of issues concerning stress ulcer prophylaxis remain unresolved despite numerous randomized, controlled trials and several meta-analyses. The role of stress ulcer prophylaxis, particularly in trauma patients, is further complicated by the lack of trials utilizing clinically important bleeding as an endpoint. Given the lack of consensus regarding stress ulcer prophylaxis in...

Stress ulcer prophylaxis in pediatric intensive care units.

OBJECTIVE To assess use of stress ulcer prophylaxis in patients admitted to five pediatric intensive care units (PICUs) in Porto Alegre, Brazil. METHODS This was a multicenter, prospective, cross-sectional observational study. PICUs were visited on randomly defined days between April 2006 and February 2007, and the medical records of admitted patients were reviewed. Patients whose records had...

Stress ulcer prophylaxis and risk of developing ventilator-associated pneumonia.

Stress ulcer prophylaxis and risk of developing ventilator-associated pneumonia To the Editor: Acute upper gastrointestinal bleeding has long been recognized as a potential life-threatening complication of stress-induced ulceration in critically ill patients. Stress ulcer prophylaxis (SUP) using pharmacologic agents is considered by many clinicians to be an important care component of patients ...

Stress Ulcer Prophylaxis Deadoption: What is the Barrier?