H2-receptor antagonists are the gold standard for stress ulcer prophylaxis in critically ill patients. Various studies demonstrated superiority of proton pump inhibitors over H2-receptor antagonists in increasing gastric pH and in healing gastric acid-dependent diseases. It is unknown, whether proton pump inhibitors are more effective in increasing gastric pH than H2-receptor antagonists in critically ill patients requiring stress ulcer prophylaxis.
Gastric pH is measured continuously for 72 hours with a pipolar microelectrode placed between 7 and 15cm below the lower esophageal sphincter.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
75
40mg once daily
50mg every h hours
Medical University of Vienna, Department of Medicine III, ICU
Vienna, Austria
the percentage of time with gastric pH > 4
Time frame: 72 hours
median gastric pH
Time frame: 72 hours
incidence of gastrointestinal bleeding
Time frame: 72 hours
incidence of ventilator associated pneumonia
Time frame: ICU stay
the percentage of time with an gastric pH > 5
Time frame: 72 hours
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