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Pneumonia Prophylaxis Under Ulcer Therapy

  • Conference paper
Problems of the Gastrointestinal Tract in Anesthesia, the Perioperative Period, and Intensive Care

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Abstract

Even under modern intensive care conditions surgical high-risk patients are endangered mainly by stress ulcer bleeding (SB) and nosocomial pneumonia (NP) [8, 13, 34]. Stress ulcer prophylaxis by elevation of the gastric pH is effective against upper gastrointestinal bleeding [6, 17, 35, 38]; on the other hand, a gastric pH over 3.5 with a potential consecutive contamination of stomach juice seems to play an important role in endogenous infections and NP [2, 14, 18]. Several studies show that in high-risk patients a prophylaxis is important [16, 28].

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Authors and Affiliations

  1. Department of General Surgery, University of Göttingen, Robert-Koch-Strasse 40, 37075, Göttingen, Germany

    G. Stöhr, M. Kunze, C. Ohmann, H. D. Röher, J. Piek, W. Sandmann & H. Becker

  2. Department of Anesthesiology, University of Essen, Essen, Germany

    M. Kunze

  3. Department of General and Accident Surgery, University of Duesseldorf, Duesseldorf, Germany

    C. Ohmann & H. D. Röher

  4. Department of Neurosurgery, University of Greifswald, Greifswald, Germany

    J. Piek

  5. Department of Vascular Surgery and Kidney Transplantation, University of Duesseldorf, Duesseldorf, Germany

    W. Sandmann

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  1. G. Stöhr
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  4. H. D. Röher
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  7. H. Becker
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Editors and Affiliations

  1. Klinik für Anaesthesiologie, Universität Würzburg, Josef-Schneider-Straße 2, 97080, Würzburg, Germany

    M. K. Herbert  & N. Roewer  & 

  2. Abt. für Exp. u. Klin. Pharmakologie, Universität Graz, Universitätsplatz 4, 8010, Graz, Austria

    P. Holzer

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© 1999 Springer-Verlag Berlin Heidelberg

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Stöhr, G. et al. (1999). Pneumonia Prophylaxis Under Ulcer Therapy. In: Herbert, M.K., Holzer, P., Roewer, N. (eds) Problems of the Gastrointestinal Tract in Anesthesia, the Perioperative Period, and Intensive Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60200-9_38

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  • DOI: https://doi.org/10.1007/978-3-642-60200-9_38

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64301-9

  • Online ISBN: 978-3-642-60200-9

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