Gastroesophageal Reflux Disease

Autor: Kim A. Noble
Rok vydání: 2013
Předmět:
Zdroj: Journal of PeriAnesthesia Nursing. 28:102-106
ISSN: 1089-9472
DOI: 10.1016/j.jopan.2013.01.004
Popis: THERE ARE AN estimated 75 million individuals with gastroesophageal reflux disease (GERD) in the United States. This disease is not limited to the adult population, with approximately 22% of the pediatric population also affected. Individuals undergoingelective surgery frequently report a history of GERD with 14% to 20% of all adults reporting symptoms associated with reflux disease. Proton pump inhibitors (PPIs) are the first-line pharmacologic treatment for GERD and are among the five top selling drugs, with an estimated 10 billion dollars spent on PPIs in the United States annually. Client preparation for elective or emergent surgery includes assessment and the proactive planning for safe discharge. The perianesthesia care provider needs to have a comprehensive understanding of this common disorder and its surgical and pharmacologic management. The pathophysiology of GERD and evidencebased treatment modalities will be presented in a fictitious perianesthesia patient case study.
Databáze: OpenAIRE