Category: Critical Care
Critical Illness-Related Corticosteroid Insufficiency (CIRCI)
So, which critically ill patients do you treat with steroids? Current literature suggests the indications for steroid treatment include vasopressor dependent septic shock and persistent ARDS despite supportive therapy and lung protective ventilation. A patient who requires only an hour or two of a vasopressor while being fluid resuscitated is unlikely to benefit. An accepted dosing schedule is hydrocortisone 50 mg IV every 6 hours.
Marik PE. Critical illness-related corticosteroid insufficiency. Chest 2009;135:181-93.