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Should we use glucocorticoids in the treatment of septic shock?
Emilie Belley-Côté, MD:
The current body of evidence suggests that there may be a small mortality benefit with steroids, so it should definitely be considered. In terms of the side effects, there is an increased risk of hyperglycemia and hypernatremia with steroids. But how relevant is that when we are facing a small potential mortality benefit? It may be not that relevant.
I think currently it is definitely to be considered in the treatment of septic shock.
Update on the management of septic shock
A lecture by Dr Waleed Alhazzani, from McMaster University, Canada, delivered at McMaster International Review Course in Internal Medicine in Kraków in May 2017.
SSC 2016. Part 1: Methodology. Principles of resuscitation
Prof. Waleed Alhazzani, one of the lead authors of Surviving Sepsis Campaign guidelines, gives us an insider’s view on SSC methodology and discusses main points concerning resuscitation.
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