Template:Sepsis Guidelines Steroids
Revisión del 11:58 10 mar 2014 de Ostermayer (discusión | contribs.)
2012 Surviving Sepsis Campaign Guidelines for Steroid Use[1]
- Do not use IV hydrocortisone to treat adult septic shock patients if adequate fluid resuscitation and vasopressor therapy are able to restore hemodynamic stability. Otherwise intravenous hydrocortisone alone at a dose of 200 mg per day (grade 2C)
- Do not use ACTH stimulation test to identify adults with septic shock who should receive hydrocortisone (grade 2B).
- Tapering off hydrocortisone when vasopressors are no longer required is not needed (grade 2D).
- Do not use corticosteroids for the treatment of sepsis in the absence of shock (grade 1D).
- When hydrocortisone is given, use continuous flow (grade 2D)