Critical Care Lounge: Steroids in Critical Care

In this episode of Critical Care Lounge, Dr. Michael Bonk joins hosts Dr. Adam Green and Dr. Haney Mallemat to discuss the practical application of steroids in critical care scenarios. They delve into various cases including COPD, ARDS, septic shock, and severe influenza, examining the nuances of steroid use for each condition.

The conversation highlights different steroid regimens, dosing strategies, and potential complications, aiming to provide viewers with a comprehensive understanding of when and how to effectively use steroids in critical care settings.

They also address common concerns and controversies, offering insights based on the latest clinical trials and their own experiences.

00:00 Welcome
01:06 Steroids in Critical Care: An Overview
02:57 Steroid Types and Mechanisms
06:03 Case Study: Viral Pneumonia
08:50 Steroid Use in COVID-19
09:45 Steroids for Non-COVID Viral Infections
12:51 Steroids in Influenza: A Controversial Topic
19:45 Community-Acquired Pneumonia and Steroids
24:13 Steroids in Septic Shock
26:34 Steroid Tapering Strategies
29:00 Debate on Fludrocortisone Use
31:09 Case Study: ARDS Management
39:03 Steroid Protocols for Status Asthmaticus
40:41 Steroids in Anaphylaxis and Other Conditions
49:03 Closing Remarks

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