nsaids...

McSwain, Norman E Jr. nmcswai at tulane.edu
Thu Jun 19 16:05:36 BST 2008


What is the data to support increased GI hemorrhage in significant
numbers from this specific drug. I have not seen it. 

Norman
 
Norman McSwain MD
Professor, Tulane School of Medicine
Trauma Director, Charity Hospital Trauma Center
norman.mcswain at tulane.edu
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of
joe.nemeth at mcgill.ca
Sent: Thursday, June 19, 2008 8:53 AM
To: trauma-list at trauma.org
Subject: nsaids...


Regarding the post about ketorolac...

Unless you want an unnecessary UGI bleed don't use it...if you want 
NSAIDs use ibuprofen: much better GI SFX profile, cheaper...if patient 
cannot tolerate PO meds, use narcotics...

One last tidbit about NSAIDs: definitely should reconsider other 
options in pts. above 60....

joe

Emergency Medicine
McGill University Health Centre
Montreal
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