Document Detail


Gastroesophageal Reflux in Critically Ill Patients.
MedLine Citation:
PMID:  23388865     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Gastroesophageal reflux (GER) is a common occurrence in critically ill, mechanically ventilated patients. Reflux can lead to pulmonary aspiration of gastric contents and subsequent pneumonia. Several characteristics of patients, interventions provided in the intensive care unit setting, and factors associated with feeding increase a patient's risk for reflux. Critical care nurses and clinical nurse specialists can identify patients at highest risk for GER by utilizing the patient's history, reviewing the medications, and assessing the current status to provide interventions to reduce the risk of GER and its sequelae of aspiration pneumonia. This article reviews the physiology of GER, risk factors, and interventions to decrease GER in the critically ill patient.
Authors:
Marilyn Schallom; James Orr; Norma Metheny; Janet Pierce
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Dimensions of critical care nursing : DCCN     Volume:  32     ISSN:  1538-8646     ISO Abbreviation:  Dimens Crit Care Nurs     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-2-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211489     Medline TA:  Dimens Crit Care Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  69-77     Citation Subset:  -    
Affiliation:
Marilyn Schallom, MSN, RN, CCRN, CCNS, is a clinical nurse specialist in the Department of Research at Barnes-Jewish Hospital at Washington University and is a doctoral nursing student at the University of Kansas, School of Nursing. James Orr, PhD, is a professor in the Department of Molecular Bioscience at the University of Kansas. Norma Metheny, PhD, RN, FAAN, is the associate dean of research at St Louis University. Dr Metheny has researched extensively in the field of pulmonary aspiration associated with gastric feedings. Janet Pierce, DSN, APRN, CCRN, is a professor of nursing at the University of Kansas.
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