In this episode of The Internet Book of Critical Care Podcast, Josh and Adam discuss common gastrointestinal issues encountered in critical care, including gastroparesis, ileus, and colonic pseudo-obstruction. They address the causes, evaluation, and treatment of each condition, emphasizing the importance of considering underlying factors and avoiding routine practices like measuring gastric residual volumes. The conversation covers both pharmacological and non-pharmacological interventions, such as promotility agents, opioid antagonists, and surgical options, while also highlighting potential pitfalls and controversies in their management. The hosts share practical tips and evidence-based approaches to optimize patient outcomes and improve overall care in the ICU.
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