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Promotility Agents for Ileus2016

Type: New Practice Management Guideline (PMG)
Category: Surgical Critical Care
Committee Liaison: Brian H. Williams, MD, FACS


Team leader(s)

Ileus secondary to critical illness or post-operative is a common GI complication encountered in the ICU and may result in need for parenteral nutrition and prolonged hospital length of stay. Medical treatments available include promotility agents (metoclopramide and erythromycin) and opioid antagonists (methylnaltrexone and alvimopan). A practice management guideline will be useful to clinicians for understanding the appropriate indications and use of these medications. 

William Chiu, MD
Michael Cripps, MD
Paula Ferrada, MD
Rondi Gelbard, MD
Stephen Gondek, MD, MPH
George Kasotakis, MD, MPH
Dennis Kim, MD
Caleb Mentzer, DO
Bryce Robinson, MD, MS
Edgardo Salcedo, MD
D. Dante Yeh, MD


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