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Assessment of Stress Ulcer Incidence and Methods of Prevention among Mechanically Ventilated Patients in Khartoum State Hospitals,Sudan (2018)

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dc.contributor.author Bashir, Mohammad Salah Hussein
dc.date.accessioned 2019-03-12T11:52:06Z
dc.date.available 2019-03-12T11:52:06Z
dc.date.issued 2018
dc.identifier.uri http://repo.uofg.edu.sd/handle/123456789/3479
dc.description A Dissertation Submitted to the University of Gezira in Partial Fulfillment of the Requirements for the Award of the Degree of Master of Science In Anesthesia-Intensive Care Department of Anesthesia ,Faculty of Applied Medical Sciences 2018 en_US
dc.description.abstract The interaction between positive pressure ventilation and the gastrointestinal tract in critical setting is a complex one. gastrointestinal changes are reported frequently in critically ill patients receiving positive pressure ventilation. Stress ulcer syndrome refers to the acute onset of upper gastrointestinal (GI) bleeding, usually from proximally located, gastric ulcers and erosions, in patients admitted to an intensive care unit (ICU) for other illnesses. This study was conducted in different types of intensive care units in Khartoum state hospitals to study the incidence of stress ulcer and confirm it prescience among mechanically ventilated patients. this study also focused in the methods of prevention used to minimalize stress ulcer occurrence comparing the proper method of prevention. Blood presence in nasogastric tube and the prescience of melena was used as clinical indicator of stress ulcer incidence and a questionnaire was used for collecting data from nursing staff and medical providers in duty. A full coverage of patient during the duration of the study from May to October revealed of 51 mechanically ventilated patients were assessed in different types of intensive care units among Khartoum state hospitals 4 of the 51 patients developed stress ulcer with represents (8%), most of them were in ventilation for prolonged period in intensive care unit for more than 72 hours , most of the patients were in medical Intensive care followed by neuro intensive care then medical and surgical intensive care , 9 patients were on parenteral nutrition and the rest received enteral feeding . most of them received pantoprazole for prophylaxis. The study also found that stress ulcer is less enteral feeding group while there was no difference between the use of proton pump inhibitor and histamine blockers when used as prophylaxis. The recommendation from the study conducted is more training is required to improve outcome, early enteral feeding is recommended to minimize the incidence of stress ulcer and immediate administration of prophylaxis is recommended for high risk factor patients to decrease the incidence of stress ulcer occurrence en_US
dc.description.sponsorship Khalid Abbas Owish Suckar (Main Supervisor) Abuobida Mohammed Hamouda (Co- supervisor) en_US
dc.language.iso en en_US
dc.publisher University of Gezira en_US
dc.subject positive pressure en_US
dc.subject gastrointestinal changes en_US
dc.subject gastric ulcers en_US
dc.subject ventilated patients en_US
dc.title Assessment of Stress Ulcer Incidence and Methods of Prevention among Mechanically Ventilated Patients in Khartoum State Hospitals,Sudan (2018) en_US
dc.type Thesis en_US

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