Stress Ulcer Prophylaxis

This lesson is designed to equip new residents with the knowledge and skills necessary to address stress ulcer prophylaxis in clinical practice. Stress-related gastrointestinal bleeding can pose a significant risk to critically ill patients, making effective prophylaxis crucial in healthcare settings. In this lesson, participants will explore the pathophysiology of stress ulcers, identify at-risk patient populations, and learn about evidence-based approaches to prevent stress-related gastrointestinal bleeding. By the end of this lesson, residents will be prepared to recognize the importance of stress ulcer prophylaxis and make informed decisions regarding its implementation in patient care.

Learning Objectives:

1. Define the pathophysiology of stress ulcers and their relationship to critical illness, highlighting the mechanisms by which stress can lead to gastrointestinal bleeding.
2. Identify patient populations at risk for stress-related gastrointestinal bleeding, considering factors such as illness severity, mechanical ventilation, coagulopathy, and underlying comorbidities.
3. Demonstrate proficiency in selecting and implementing appropriate stress ulcer prophylaxis strategies, including pharmacological and non-pharmacological interventions, while considering individual patient characteristics and the latest evidence-based guidelines.