Role of steroids in septic shock: assessment of knowledge, attitudes and practices among intensivists practising in Hyderabad
| Autor: | Rashmi R Satapathy, Ravichandra Raya, Venugopal V Madgundi, Deven Juneja, Palepu B Gopal |
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| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Total Cortisol business.industry Septic shock Fludrocortisone Context (language use) Critical Care and Intensive Care Medicine Intravenous bolus medicine.disease attitude and practices study Institutional level Steroid therapy Pharmacotherapy Knowledge medicine septic shock Intensive care medicine business medicine.drug Research Article steroids |
| Zdroj: | Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine |
| ISSN: | 1998-359X |
| Popis: | Context: Use of steroids in septic shock is an issue of contention, more so with two major trials reporting conflicting results. Aims: To assess the current knowledge, attitudes and practices (KAP) related to the role of steroids in septic shock among intensivists practising in Hyderabad. Setting, Design, Materials and Methods: Questionnaires containing 10 questions pertaining to the role of steroids in septic shock, were distributed to 76 intensivists during the monthly critical care meeting. Results: A great majority of intensivists (82%) agreed that the role of steroids is restricted to septic shock not responding to vasopressors. There was no clear consensus regarding the role of corticotropin stimulation test or the timing of total cortisol level testing, if it has to be performed. Hydrocortisone was clearly the choice of steroid for most intensivists and intravenous bolus injection being the preferred route of administration. There was no agreement regarding the dose of steroids, the role of fludrocortisone and whether steroids should be tapered. Most of the respondents did not extend the steroid therapy beyond seven days and the most common side effect reported was hyperglycemia. Conclusion: There is a lot of ambiguity in the knowledge, attitudes or practices regarding role of steroids in septic shock among intensivists in Hyderabad. Uniform policies and protocols need to be devised at institutional level, with multispecialty inputs, and doctors need to be familiarized accordingly. |
| Databáze: | OpenAIRE |
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