[Intensive Care Med指南]:SCCM/ESICM危重病相关肾上腺皮质功能不全(CIRCI)诊断与治疗指南(Part II) | 中国病理生理学会危重病医学专业委员会
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[Intensive Care Med指南]:SCCM/ESICM危重病相关肾上腺皮质功能不全(CIRCI)诊断与治疗指南(Part II)
2017年12月17日 指南导读, 进展交流 暂无评论

CONFERENCE REPORTS AND EXPERT PANEL

Guidelines for the diagnosis and management of critical illness‑related corticosteroid insufficiency (CIRCI) in critically ill patients (Part II): Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) 2017

Stephen M. Pastores, Djillali Annane, Bram Rochwerg, et al

Intensive Care Medicine 2017 (in press)

doi: 10.1007/s00134-017-4951-5

Community-acquired pneumonia

Should corticosteroids be administered to hospitalized adults with community-acquired pneumonia (CAP)?

Recommendation: We suggest the use of corticosteroids for 5–7 days at a daily dose < 400 mg i.v. hydrocortisone or equivalent in hospitalized patients with CAP (conditional recommendation, moderate quality of evidence)

Influenza

Should corticosteroids be administered to hospitalized adults with influenza?

Recommendation: We suggest against the use of corticosteroids in adults with influenza (conditional recommendation, very low quality of evidence)

Meningitis

Should corticosteroids be administered to hospitalized adults with bacterial meningitis?

Recommendation: We recommend use of corticosteroids in patients with bacterial meningitis (strong recommendation, low quality of evidence)

Cardiopulmonary bypass surgery

Should corticosteroids be administered in adults undergoing cardiopulmonary bypass surgery?

Recommendation: We suggest use of corticosteroids in patients undergoing cardiopulmonary bypass surgery (conditional recommendation, moderate quality of evidence)

Cardiac arrest

Should corticosteroids be administered to adults who suffer a cardiac arrest?

Recommendation: We suggest use of corticosteroids in the setting of cardiac arrest (conditional recommendation, very low quality of evidence)

 

 

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