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Neostigmine resolves critical illness-related colonic ileus in intensive care patients with multiple organ failure – a prospective, double-blind, placebo-controlled trial

Intensive Care MedicinePublished 12 April 2001
Johan Van der Spoel, H. Oudemans-van Straaten, C. P. Stoutenbeek, Rob J. Bosman, D. F. Zandstra
Citations189
SJR quartileQ1
SJR score5.00
SNIP6.11

TL;DR

Overall, in none of the patients did passage of stools occur during placebo infusion, whereas 19 of the 24 neostigmine-treated patients had defecation, but three patients had ischemic colonic complications 7–10 days after treatment.

Abstract

Continuous infusion of 0.4-0.8 mg/h of neostigmine promotes defecation in ICU patients with a colonic ileus without important adverse reactions.

Keywords

Medicine