Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Steroid Guideline

Video Transcription

Video Summary

The recent guidelines on steroid use in sepsis and septic shock now advise administering steroids to adult patients unresponsive to fluids and requiring vasopressors, without needing multiple vasopressors first. High doses of steroids are discouraged. Steroid use speeds shock reversal but may cause hyperglycemia and hypernatremia. Fludrocortisone's addition to hydrocortisone remains optional, albeit slightly beneficial in some studies. For ARDS and severe community-acquired pneumonia in adults, steroids are conditionally recommended, shortening mechanical ventilation time and ICU stays. However, steroids are not recommended for less severe pneumonia. The guidelines exclude pediatric patients due to a lack of relevant studies.

Keywords

steroid use

sepsis

shock reversal

hyperglycemia

pneumonia

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.