Bleed bleeding criticalcare intubation risk classification anticoagulation management endoscopy

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Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification

for Describing Endoscopic ... and Predicting Risk ... Ia Spurting bleed ... #Endoscopy #EGD ... #Risk #Rebleeding

Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%

Forrest Classification ... Rebleeding risks ... are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed

to assess the risk ... of bleeding on ... anticoagulation ... - HAS-BLED Score ... 1 #Management

Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus

Esophageal Variceal Bleeding ... PRINCIPLES OF MANAGEMENT ... Individualize ; intubation ... Regarding Variceal Bleed ... Management By

Perioperative Management of DOACs
Problem:
✖ Each year approximately 250,000 patients on chronic anticoagulation in North America

Perioperative Management ... and procedural bleeding ... anticoagulation ... Therapy • Low Bleed-Risk ... postoperative • High Bleed-Risk

Evidence for Treatment of Acute Esophageal Variceal Bleeding
• Octreotide (PMID: 11870374) - Endoscopic banding +

PMID: 11870374) - Endoscopic ... esophageal variceal bleed ... =0.53 • Endoscopic ... without increased risk ... #varices #management

to assess the risk ... of bleeding on ... anticoagulation ... - HAS-BLED Score ... 3 #Management

to assess the risk ... of bleeding on ... anticoagulation ... - HAS-BLED Score ... 4 #Management

to assess the risk ... of bleeding on ... anticoagulation ... - HAS-BLED Score ... 2 #Management

Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
• Adequate resuscitation: Restrictive> Liberal strategy

Upper GI Bleeding ... sens. >12 inc. risk ... poor outcomes • Intubation ... NonVariceal #UpperGI #Bleeding ... #diagnosis #management

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