Síguenos en Twitter       Síguenos en Facebook       Síguenos en YouTube       Siguenos en Linkedin       Correo Grupsagessa       Gmail       Yahoo Mail       Dropbox       Instagram       Pinterest       Slack       Google Drive       Print       StumbleUpon

SOBRE EL AUTOR **

Mi foto
FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

EMERGENCY MEDICINE DAY: May 27

Buscar en contenido

Contenido:

martes, 30 de enero de 2018

Metabolic Sepsis Resuscitation

PulmCrit (EM Crit)

PulmCrit (EM Crit) - January 29, 2018 - By Josh Farkas
  • "The ADRENAL trial showed that stress-dose steroids are fairly safe, have no mortality benefit, and accelerate clinical improvement.
  • ADRENAL shows that steroid offers meaningful patient-centered benefit to patients on anydose of vasopressor (not solely patients on high-dose vasopressor).
  • Treatment for septic shock involves immediate initiation of numerous therapies to stabilize the patient as rapidly as possible. It makes sense to initiate steroid promptly, rather than withholding it until the patient is failing to respond to high doses of vasopressor.
  • Metabolic sepsis resuscitation with hydrocortisone, ascorbic acid, and thiamine remains controversial. By demonstrating the safety and efficacy of hydrocortisone, the ADRENAL study provides indirect support for this combination."