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

SOBRE EL AUTOR **

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

WORLD EMERGENCY MEDICINE SOCIETIES

Scott Weingart. EMCrit RACC Podcast 217 – The Ultimate “Ultimate” BVM. EMCrit Blog. Published on February 5, 2018. Available at [https://emcrit.org/racc/ultimate-bvm/ ]

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."