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01.12.2012 | Review | Ausgabe 1/2012 Open Access

Annals of Intensive Care 1/2012

Management by the intensivist of gastrointestinal bleeding in adults and children

Zeitschrift:
Annals of Intensive Care > Ausgabe 1/2012
Autoren:
David Osman, Michel Djibré, Daniel Da Silva, Cyril Goulenok, group of experts
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​2110-5820-2-46) contains supplementary material, which is available to authorized users.

Competing interests

Scientific presentation at a symposium held on by W.L GORE: Christophe Bureau, Nicolas Carbonell, Dominique Thabut. Scientific presentation at a symposium held on by Eumédica: Dominique Pateron, Nicolas Carbonell. Participation in an observatory supported by Eumédic: Nicolas Carbonell, Dominique Thabut. Expert’s report for Sanofi-Aventis and Ethypharm: Marc Bardou. All other authors declare that they have no conflicts of interest.

Authors’ contribution

DO, MD, DS and CG participated in the design and the coordination of the study and checked compliance to the GRADE method. CG and the group of experts participated in the development and the grading of the level of proof of the recommendations. DO carried out the RAND/UCLA method for the collective scoring. DO, MD, DS, CG and the group of experts participated in the redaction of the arguments’ recommendations. All authors read and approved the final manuscript.

Abstract

Intensivists are regularly confronted with the question of gastrointestinal bleeding. To date, the latest international recommendations regarding prevention and treatment for gastrointestinal bleeding lack a specific approach to the critically ill patients. We present recommendations for management by the intensivist of gastrointestinal bleeding in adults and children, developed with the GRADE system by an experts group of the French-Language Society of Intensive Care (Société de Réanimation de Langue Française (SRLF), with the participation of the French Language Group of Paediatric Intensive Care and Emergencies (GFRUP), the French Society of Emergency Medicine (SFMU), the French Society of Gastroenterology (SNFGE), and the French Society of Digestive Endoscopy (SFED). The recommendations cover five fields of application: management of gastrointestinal bleeding before endoscopic diagnosis, treatment of upper gastrointestinal bleeding unrelated to portal hypertension, treatment of upper gastrointestinal bleeding related to portal hypertension, management of presumed lower gastrointestinal bleeding, and prevention of upper gastrointestinal bleeding in intensive care.
Zusatzmaterial
Authors’ original file for figure 1
13613_2012_114_MOESM1_ESM.docx
Authors’ original file for figure 2
13613_2012_114_MOESM2_ESM.docx
Authors’ original file for figure 3
13613_2012_114_MOESM3_ESM.docx
Authors’ original file for figure 4
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Literatur
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