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Management of Hospital-acquired Complications in Critically Ill Patients

of gastric fluid versus the amount vomited and subsequently entering the tracheobronchial tree. It is unlikely that aspiration of any gastric fluid is truly benign. Certainly one strategy appears clear: to decrease the morbidity and mortality associated with this syndrome, one must promptly consider and institute prophylaxis rather than later face management of aspiration pneumonitis. The popularity of prophylaxis to diminish the incidence of and problems associated with stress ulcer-related bleeding in critical care medicine is