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Gastrointest. Endosc. Clin. N. Am. · Jul 2015
ReviewInitial Assessment and Resuscitation in Nonvariceal Upper Gastrointestinal Bleeding.
- Tracey G Simon, Anne C Travis, and John R Saltzman.
- Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02215, USA.
- Gastrointest. Endosc. Clin. N. Am. 2015 Jul 1; 25 (3): 429-42.
AbstractAcute nonvariceal upper gastrointestinal bleeding remains an important cause of hospital admission with an associated mortality of 2-14%. Initial patient evaluation includes rapid hemodynamic assessment, large-bore intravenous catheter insertion and volume resuscitation. A hemoglobin transfusion threshold of 7 g/dL is recommended, and packed red blood cell transfusion may be necessary to restore intravascular volume and improve tissue perfusion. Patients should be risk stratified into low- and high-risk categories, using validated prognostic scoring systems such as the Glasgow-Blatchford, AIMS65 or Rockall scores. Effective early management of acute, nonvariceal upper gastrointestinal hemorrhage is critical for improving patient outcomes.Copyright © 2015 Elsevier Inc. All rights reserved.
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