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Gastrointestinal Issues in Critically Ill Children

Due to lack of uniform diagnostic criteria, gastrointestinal (GI) complications in critically ill occur with variable frequency,(1) and overall incidence of such complications seems to be less in children compared to adults. Major risk factors are use of catecholamines, sedatives, and muscle relaxan...

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Detalles Bibliográficos
Autores principales: Khilnani, Praveen, Rawal, Nidhi, Singha, Chandrasekhar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724949/
https://www.ncbi.nlm.nih.gov/pubmed/33354042
http://dx.doi.org/10.5005/jp-journals-10071-23637
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author Khilnani, Praveen
Rawal, Nidhi
Singha, Chandrasekhar
author_facet Khilnani, Praveen
Rawal, Nidhi
Singha, Chandrasekhar
author_sort Khilnani, Praveen
collection PubMed
description Due to lack of uniform diagnostic criteria, gastrointestinal (GI) complications in critically ill occur with variable frequency,(1) and overall incidence of such complications seems to be less in children compared to adults. Major risk factors are use of catecholamines, sedatives, and muscle relaxants in patients with shock. GI dysmotility in critically ill patients is the main reason behind abdominal distension, increased gastric residual volume, and constipation. GI bleeding is described in about 10% of patients with critical illness with about 1.6% have clinically significant bleeding, particularly in patients with coagulopathy, respiratory failure, or PRISM scores >10.(2) In this review, the most common GI issues encountered in children will be discussed as mentioned earlier. In addition management of acute GI bleeding will also be discussed. How to cite this article: Khilnani P, Rawal N, Singha C. Gastrointestinal Issues in Critically Ill Children. Indian J Crit Care Med 2020;24(Suppl 4):S201–S204.
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spelling pubmed-77249492020-12-21 Gastrointestinal Issues in Critically Ill Children Khilnani, Praveen Rawal, Nidhi Singha, Chandrasekhar Indian J Crit Care Med Invited Review Due to lack of uniform diagnostic criteria, gastrointestinal (GI) complications in critically ill occur with variable frequency,(1) and overall incidence of such complications seems to be less in children compared to adults. Major risk factors are use of catecholamines, sedatives, and muscle relaxants in patients with shock. GI dysmotility in critically ill patients is the main reason behind abdominal distension, increased gastric residual volume, and constipation. GI bleeding is described in about 10% of patients with critical illness with about 1.6% have clinically significant bleeding, particularly in patients with coagulopathy, respiratory failure, or PRISM scores >10.(2) In this review, the most common GI issues encountered in children will be discussed as mentioned earlier. In addition management of acute GI bleeding will also be discussed. How to cite this article: Khilnani P, Rawal N, Singha C. Gastrointestinal Issues in Critically Ill Children. Indian J Crit Care Med 2020;24(Suppl 4):S201–S204. Jaypee Brothers Medical Publishers 2020-09 /pmc/articles/PMC7724949/ /pubmed/33354042 http://dx.doi.org/10.5005/jp-journals-10071-23637 Text en Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd. © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Invited Review
Khilnani, Praveen
Rawal, Nidhi
Singha, Chandrasekhar
Gastrointestinal Issues in Critically Ill Children
title Gastrointestinal Issues in Critically Ill Children
title_full Gastrointestinal Issues in Critically Ill Children
title_fullStr Gastrointestinal Issues in Critically Ill Children
title_full_unstemmed Gastrointestinal Issues in Critically Ill Children
title_short Gastrointestinal Issues in Critically Ill Children
title_sort gastrointestinal issues in critically ill children
topic Invited Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724949/
https://www.ncbi.nlm.nih.gov/pubmed/33354042
http://dx.doi.org/10.5005/jp-journals-10071-23637
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