Hospitals & Services
Routine drug based gastric protection is not used in the Christchurch Intensive Care. There are potential risks to interfering with normal gastric acidity. The key to gastric protection is early and successful feeding. Individualised prophylactic treatment may be considered based on the patients past history risk factors. These issues should be discussed with the duty intensive care specialist.
The use of intravenous omeprazole is usually reserved for the use of the treatment of severe gastrointestinal haemorrhage.
Less effective acid suppression during feeding
Ill defined link with increased rates of nosocomial infection
Useful prophylactic agent
Acute Rx: 40 mg bd IVI
Established: 40 mg dly po
Proton pump inhibitor
Effective acid suppression for 24hrs
Proven efficacy in Rx of actively bleeding ulceration