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Old 08-18-2012
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Question Stress ulcers

does anyone know why mechanical ventilation leads to stress ulcers?
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Old 08-18-2012
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does anyone know why mechanical ventilation leads to stress ulcers?
Do you eat? I mean do patients ventilated eat by mouth? No they are fed IV or by G tube something like that, this leads to increase in Ulcers
as well as the stress of being that ill. Have you spent time in a US ICU? Just about a standard of care is a PPI these days.
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Old 08-18-2012
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Do you eat? I mean do patients ventilated eat by mouth? No they are fed IV or by G tube something like that, this leads to increase in Ulcers
as well as the stress of being that ill. Have you spent time in a US ICU? Just about a standard of care is a PPI these days.
PPI actually indicated in everybody on mech vent for more than 48 hrs and coagulopathy.

Etiology is unknow, probably higher pH and less blood flow in stress situations

Last edited by dr_mhm; 08-18-2012 at 05:10 PM.
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Old 08-18-2012
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PPI actually indicated in everybody on mech vent for more than 48 hrs and coagulopathy.

Etiology is unknow, probably higher pH and less blood flow in stress situations
WHile I agree with you I seem to remember that when we are not using our gut normally it is usual to have something such as Zantac or a PPI. Yes what I said was not 100% true because the evidence is not established yet. This helps me to answer these questions right and when I treat and do the right thing I see it as OK.
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Old 08-18-2012
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WHile I agree with you I seem to remember that when we are not using our gut normally it is usual to have something such as Zantac or a PPI. Yes what I said was not 100% true because the evidence is not established yet. This helps me to answer these questions right and when I treat and do the right thing I see it as OK.
I would, too. LOL
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Old 08-18-2012
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WHile I agree with you I seem to remember that when we are not using our gut normally it is usual to have something such as Zantac or a PPI. Yes what I said was not 100% true because the evidence is not established yet. This helps me to answer these questions right and when I treat and do the right thing I see it as OK.

so basically you dont know, and no one knows
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  #7  
Old 08-20-2012
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so basically you dont know, and no one knows
As Dr Fischer would say, Yes
there is no absolute fact at this time yet the absolute right thing to do is PPI
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