Perioperative Stress-Dose Steroids

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چکیده

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Low-Dose Steroids in ARDS

The recent study by Dr. Meduri and colleagues (April 2007)1 regarding treatment of severe ARDS with steroids has critical flaws in the presentation and analysis of the data. The methylprednisolone and control groups differed significantly in the proportion of patients who had catecholamine-dependent shock (CDS) at baseline in the treatment group (15 of 63 patients, 23.8%) vs those in the contro...

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Low-dose steroids in ARDS.

The recent study by Dr. Meduri and colleagues (April 2007)1 regarding treatment of severe ARDS with steroids has critical flaws in the presentation and analysis of the data. The methylprednisolone and control groups differed significantly in the proportion of patients who had catecholamine-dependent shock (CDS) at baseline in the treatment group (15 of 63 patients, 23.8%) vs those in the contro...

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Comparison of high dose inhaled steroids, low dose inhaled steroids plus low dose theophylline, and low dose inhaled steroids alone in chronic asthma in general practice.

BACKGROUND Theophylline is widely used in the treatment of asthma, and there is evidence that theophylline has anti-inflammatory or immunomodulatory effects. A study was undertaken to determine whether theophylline added to low dose inhaled steroids would be as efficacious as high dose inhaled steroids in asthma. METHODS In a study in general practice of 155 recruited asthmatic patients with ...

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Perioperative Severe Hypotension in a Patient with Multiple Endocrine Neoplasia Type IIb and Bilateral Adrenalectomies: Time to Review the Evidence for Stress Dose Steroids

Multiple endocrine neoplasia type IIb (MEN IIb) is an endocrine disorder which can manifest with tumors such as pheochromocytomas and neuromas. We present the case of a patient with MEN IIb, after bilateral adrenalectomies, on maintenance steroid replacement, who underwent a neuroma resection and developed severe hypotension. There is persistent controversy regarding the general administration ...

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Perioperative steroids in tonsillectomy using electrocautery and sharp dissection techniques.

OBJECTIVE To determine the effect of preoperative dexamethasone sodium phosphate administration on posttonsillectomy morbidity for electrocautery ("hot") and sharp ("cold") dissection techniques. DESIGN Prospective, randomized, double-blind study. SETTING University pediatric hospital and county teaching hospital. Subjects A total of 219 children, aged 9 months to 12 years, undergoing tonsi...

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ژورنال

عنوان ژورنال: Clinics in Colon and Rectal Surgery

سال: 2013

ISSN: 1531-0043,1530-9681

DOI: 10.1055/s-0033-1351132