What steroid regimen do you use in patients with both septic shock and ARDS?

Do you use hydrocortisone 200 mg/day as studied in ADRENAL/APROCCHSS or dexamethasone 20 mg/day as studied in DEXA-ARDS?

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What steroid regimen do you use in patients with both septic shock and ARDS?

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2 Answers

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Pulmonology · Duke University Medical Center

Answered on

Personally, I have used Hydrocortisone 50mg q6h for patients with refractory shock, regardless of the presence of absence of ARDS.

I have not been an adopter of Steroids in ARDS.

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Mednet Member

Pulmonology · McLaren Port Huron Pulmonology Critical Care And Sleep Medicine

Answered on

I use the random cortisol level to determine relative versus actual adrenal insufficiency. Shock reversal is accelerated with hydrocortisone although I haven't experienced a huge survival benefit.

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