Steroid Therapy of Septic Shock - 11/08/11
, Serge Goodman, MD, PhD b, Yoram G. Weiss, MD b, cRésumé |
Despite their potential benefits, corticosteroids have adverse affects and the benefits and risks must be balanced in determining whether they should be used or not. Some of the serious adverse affects noted in patients with critical illness have included superinfections and critical illness polyneuromyopathy. This article reviews the subject of steroid treatment of patients with septic shock and weighs the advantages and disadvantages of steroid treatment. It reviews and contrasts several low- and high-dose steroid studies, and makes recommendations for future practice.
Le texte complet de cet article est disponible en PDF.Keywords : Septic shock, Steroids, Corticosteroids, Mortality, Shock reversal
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| A version of this article was previously published in Critical Care Clinics 25:4. |
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| This article is adapted, in part, from Sprung CL, Goodman S, Weiss YG. Corticosteroid treatment of patients in septic shock. In: Vincent JL, editor. Yearbook of intensive care and emergency medicine. Springer; 2009. p. 753–60; with permission. |
Vol 23 - N° 1
P. 171-180 - mars 2011 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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