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Intensive Care Medicine

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29.01.2016 | Editorial

Steroids are part of rescue therapy in ARDS patients with refractory hypoxemia: we are not sure

verfasst von: Nitin Seam, Anthony F. Suffredini

Erschienen in: Intensive Care Medicine | Ausgabe 5/2016

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Excerpt

Many clinicians have ambivalence regarding the use of steroids in critical illness. In a survey of corticosteroid use in the ICU, more than half would use steroids in vasopressor-refractory septic shock while the majority of respondents almost never use corticosteroids for ARDS [1]. Considering the nature of the injury, the high mortality and the underlying pathogenesis of ARDS, this is somewhat surprising. Patients with ARDS with higher levels of lung and systemic inflammation have worse clinical outcome [2, 3]. Because of its inflammatory basis, corticosteroids have long been considered a potential therapy for ARDS. …

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Titel: Steroids are part of rescue therapy in ARDS patients with refractory hypoxemia: we are not sure
verfasst von: Nitin Seam
Anthony F. Suffredini
Publikationsdatum: 29.01.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Intensive Care Medicine / Ausgabe 5/2016
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-015-4160-z

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Steroids are part of rescue therapy in ARDS patients with refractory hypoxemia: we are not sure

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