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| ID | Type | Description | Link |
|---|---|---|---|
| ESORAN trail |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | patients with indication for stress ulcer prophylaxis and gastric pH < 4 |
|
| 2 | Active Comparator | patients with indication for stress ulcer prophylaxis and gastric pH < 4 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| esomeprazole | Drug | 40mg once daily |
| |
| ranitidine |
| Measure | Description | Time Frame |
|---|---|---|
| the percentage of time with gastric pH > 4 | 72 hours |
| Measure | Description | Time Frame |
|---|---|---|
| median gastric pH | 72 hours | |
| incidence of gastrointestinal bleeding | 72 hours | |
| incidence of ventilator associated pneumonia |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christian Madl, MD | Medical University of Vienna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of Vienna, Department of Medicine III, ICU | Vienna | 1090 | Austria |
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| ID | Term |
|---|---|
| D064098 | Esomeprazole |
| D011899 | Ranitidine |
| ID | Term |
|---|---|
| D009853 | Omeprazole |
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
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| Drug |
50mg every h hours |
|
| ICU stay |
| the percentage of time with an gastric pH > 5 | 72 hours |
| D009930 |
| Organic Chemicals |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D005663 | Furans |