"CRITICAL CARE A DAY"

Home
Kindle download - previous pearls
Previous Pearls 2016
Previous Pearls 2015
Previous Pearls 2014
Previous Pearls 2013
Previous Pearls 2012
Previous Pearls 2011
Previous Pearls 2010
Previous Pearls 2009
Previous Pearls 2008
Previous Pearls 2007
Previous Pearls 2006
Previous Pearls 2005
Related Critical Care sites
Disclaimer
Email / Contribute / Feedback
About us / Editorial team






Thursday, August 25, 2016



Q: Given if Decadron (Dexamethasone) is not available, what is the dose of Solumedrol (methylprednisolone) is appropriate to use in post-extubation stridor/risk of laryngeal edema?


Answer:    Methylprednisolone 20 mg every four hours for a total of four doses. 

Dexamethasone 4 mg for total of four doses is usually used in ICUs to avoid re-intubation secondary to laryngeal edema. Methylprednisolone can be used also instead of Dexamethasone. 20 mg of Methylprednisolone is usually enough. At the most 40 mg should be suffice. Objective of this question is to emphasize to avoid massive dose of steroid.


 Reference: 

 Cheng KC, Chen CM, Tan CK, et al. Methylprednisolone reduces the rates of postextubation stridor and reintubation associated with attenuated cytokine responses in critically ill patients. Minerva Anestesiol 2011; 77:503.






Tip for finding previous pearl
 
To find previous pearl - go to 'google', as we archive at google's blogspot.
Type your keyword (like hyperkalemia) followed with icuroom.net

 
 
*********************************************************************************
*********************************************************************************
 
 
 
This site is a quick "coffee break" forum for "intensivists" -   trained and dedicated in taking care of  critically ill (ICU) patients !!