• Critical care clinics · Apr 2016

    Review

    Nonvariceal Upper Gastrointestinal Bleeding.

    • Syed Irfan-Ur Rahman and Kia Saeian.
    • Department of Medicine, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
    • Crit Care Clin. 2016 Apr 1; 32 (2): 223-39.

    AbstractIn the intensive care unit, vigilance is needed to manage nonvariceal upper gastrointestinal bleeding. A focused history and physical examination must be completed to identify inciting factors and the need for hemodynamic stabilization. Although not universally used, risk stratification tools such as the Blatchford and Rockall scores can facilitate triage and management. Urgent evaluation for nonvariceal upper gastrointestinal bleeds requires prompt respiratory assessment, and identification of hemodynamic instability with fluid resuscitation and blood transfusions if necessary. Future studies are needed to evaluate the indication, safety, and efficacy of emerging endoscopic techniques.Copyright © 2016 Elsevier Inc. All rights reserved.

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