The effect of opioids on gastrointestinal function in the ICU

Abstract Gastrointestinal (GI) dysfunction is common in the critical care setting and is highly associated with clinical outcomes. Opioids increase the risk for GI dysfunction and are frequently prescribed to reduce pain in critically ill patients. However, the role of opioids in GI function remains...

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Main Authors: Yun Yan, Yu Chen, Xijing Zhang
Format: Article
Language:English
Published: BMC 2021-10-01
Series:Critical Care
Subjects:
Online Access:https://doi.org/10.1186/s13054-021-03793-1
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author Yun Yan
Yu Chen
Xijing Zhang
author_facet Yun Yan
Yu Chen
Xijing Zhang
author_sort Yun Yan
collection DOAJ
description Abstract Gastrointestinal (GI) dysfunction is common in the critical care setting and is highly associated with clinical outcomes. Opioids increase the risk for GI dysfunction and are frequently prescribed to reduce pain in critically ill patients. However, the role of opioids in GI function remains uncertain in the ICU. This review aims to describe the effect of opioids on GI motility, their potential risk of increasing infection and the treatment of GI dysmotility with opioid antagonists in the ICU setting.
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spelling doaj.art-d0c7270cfa8a4921a37b97ccc09c7ee52022-12-21T21:28:38ZengBMCCritical Care1364-85352021-10-0125111410.1186/s13054-021-03793-1The effect of opioids on gastrointestinal function in the ICUYun Yan0Yu Chen1Xijing Zhang2Department of Anaesthesiology and Perioperative Medicine, Xijing Hospital, The Fourth Military Medical UniversityDepartment of Anaesthesiology and Perioperative Medicine, Xijing Hospital, The Fourth Military Medical UniversityDepartment of Anaesthesiology and Perioperative Medicine, Xijing Hospital, The Fourth Military Medical UniversityAbstract Gastrointestinal (GI) dysfunction is common in the critical care setting and is highly associated with clinical outcomes. Opioids increase the risk for GI dysfunction and are frequently prescribed to reduce pain in critically ill patients. However, the role of opioids in GI function remains uncertain in the ICU. This review aims to describe the effect of opioids on GI motility, their potential risk of increasing infection and the treatment of GI dysmotility with opioid antagonists in the ICU setting.https://doi.org/10.1186/s13054-021-03793-1OpioidsCritical illnessGastrointestinal functionGastrointestinal microbiome
spellingShingle Yun Yan
Yu Chen
Xijing Zhang
The effect of opioids on gastrointestinal function in the ICU
Critical Care
Opioids
Critical illness
Gastrointestinal function
Gastrointestinal microbiome
title The effect of opioids on gastrointestinal function in the ICU
title_full The effect of opioids on gastrointestinal function in the ICU
title_fullStr The effect of opioids on gastrointestinal function in the ICU
title_full_unstemmed The effect of opioids on gastrointestinal function in the ICU
title_short The effect of opioids on gastrointestinal function in the ICU
title_sort effect of opioids on gastrointestinal function in the icu
topic Opioids
Critical illness
Gastrointestinal function
Gastrointestinal microbiome
url https://doi.org/10.1186/s13054-021-03793-1
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