SCCM Resource Library-Con: Corticosteroids Should Be Used Only for Selected Patients With ARDS or Severe Pneumonia

Con: Corticosteroids Should Be Used Only for Selected Patients With ARDS or Severe Pneumonia

Video Transcription

Video Summary

The speaker discusses the nuanced decision-making process for administering steroids in patients with ARDS (Acute Respiratory Distress Syndrome). Although studies suggest an average benefit from steroids in clinical trials, individual patient responses can vary widely due to differences in baseline risk and pathophysiology. This is often referred to as the heterogeneity of treatment effect. The speaker advocates for a personalized approach, weighing the potential benefits and risks based on a patient's clinical characteristics, comorbidities, and acute presentation. Through examples of different patient cases, they illustrate a framework for categorizing patients into categories: those who should definitely receive steroids, those who should not, and those in a middle, more challenging category requiring case-by-case decision making. The speaker emphasizes the need for integrating this personalized approach into clinical workflows, potentially using sophisticated models and trials, to support effective treatment decisions in the future.

Asset Caption

One-Hour Concurrent Session | Pro/Con Debate: How I Use Corticosteroids for ARDS and Pneumonia

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

ARDS

steroids

personalized medicine

heterogeneity of treatment effect

clinical decision-making

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