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Management of Acute Upper Gastrointestinal Hemorrhage

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Evidence-Based Critical Care

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Abstract

Upper gastrointestinal hemorrhage is a frequent indication for admission to the intensive care unit. This chapter reviews evidence-based guidelines for management of these patients, specifically related to restrictive transfusion strategies, the use of acid suppression, and timing of endoscopy. Areas of uncertainty are also discussed, notably indications for platelet transfusion among patients taking antiplatelet agents and prophylactic intubation for endoscopic procedures.

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Author information

Authors and Affiliations

  1. Division of Gastroenterology, Brigham and Women’s Hospital, Boston, MA, USA

    Navin L. Kumar

  2. Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA

    Jakob McSparron

Authors
  1. Navin L. Kumar
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  2. Jakob McSparron
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Correspondence to Navin L. Kumar .

Editor information

Editors and Affiliations

  1. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Robert C. Hyzy

  2. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Jakob McSparron

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Kumar, N.L., McSparron, J. (2020). Management of Acute Upper Gastrointestinal Hemorrhage. In: Hyzy, R.C., McSparron, J. (eds) Evidence-Based Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-26710-0_67

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  • DOI: https://doi.org/10.1007/978-3-030-26710-0_67

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26709-4

  • Online ISBN: 978-3-030-26710-0

  • eBook Packages: MedicineMedicine (R0)

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