Indian Journal of Critical Care Medicine

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VOLUME 24 , ISSUE S4 ( September, 2020 ) > List of Articles

INVITED REVIEW

Gastrointestinal Issues in Critically Ill Children

Praveen Khilnani, Nidhi Rawal

Keywords : Constipation, Critically ill children, Dysmotility, Feeding intolerance, Gastrointestinal bleeding

Citation Information :

DOI: 10.5005/jp-journals-10071-23637

License: CC BY-NC 4.0

Published Online: 18-11-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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.


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