Nuevas recomendaciones sobre el uso de corticoides en el paciente crítico
DOI:
https://doi.org/10.30445/rear.v10i11.649Palabras clave:
críticos, paciente crítico, corticoides, guías, formación, CIRCIResumen
La utilización de corticoides en el paciente crítico es una práctica clínica habitual, aunque no siempre respaldada por la evidencia científica. Los datos aportados por estas nuevas guías intentan responder a algunas de las dudas que se nos plantean diariamente en el ejercicio de nuestra actividad.
Citas
Djillali Annane, Stephen M. Pastores, Wiebke Arlt, Robert A. Balk, Albertus Beishuizen, Josef Briegel, Joseph Carcillo, Mirjam Christ‑Crain, Mark S. Cooper, Paul E. Marik, Gianfranco Umberto Meduri, Keith M. Olsen, Bram Rochwerg, Sophia C. Rodgers, James A. Russell and Greet Van den Berghe. Critical illness‑related corticosteroid insufficiency (CIRCI): a narrative review from a Multispecialty Task Force of the SCCM and ESICM.
Rhodes A et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Critical Care Med 2017; 45 (3): 486-552.
Dellinger R.P., M.M. Levy, JM Carlet, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2012. Critical Care Med 2013 Feb; 41(2): 580-637
Dellinger R.P., M.M. Levy, JM Carlet, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2008. Critical Care Medicine 2008 Jan;36(1):296-327.
Venkatesh B et al. Adjunctive glucocorticoid therapy in patients with Septic Shock. ADRENAL Trial Investigators and the Australian–New Zealand Intensive Care Society Clinical Trials Group. N Engl J Med. 2018 Jan 19
Herrán. Monge R., et al. Epidemiology and Changes in Mortality of Sepsis after the Implementation of Surviving Sepsis, Campaign Guidelines. J. Intensive Care Med 2017 Jan.
Ranieri VM, et al. Acute respiratory distress syndrome: the Berlin definition. JAMA 2012 Jun 20;307 (23):2526-33
Ruan SY, Lin HH, Huang ChT. Exploring the heterogeneity of effecs of corticosteroids on acute respiratory distress syndrome: a systematic review and meta-analysis. Critical Care 2014,18:R63.
Meduri GU, Bridges L, Shin MC et al. Prolonged glucocorticoid treatment is associated with improved ARDS outcomes: analysis of individual patients’ data from four randomized trials and trial-level metaanalysis of the updated literature. Intensive Care Med (2016) 42(5):829–840
Stern A, Skalsky K, Avni T, Carrara E, Leibovici L, Paul M. Corticosteroids for pneumonia. Cochrane Database of Systematic Reviews. 2017, 12
Jesse W. Delaney, Ruxandra Pintor et. al. and on behalf of the Canadian Critical Care Trials Group H1N1 Collaborative. Delaney et al. The influence of corticosteroid treatment on the outcome of influenza A (H1N1pdm09)-related critical illness. Critical Care (2016) 20:75
Brouwer MC, McIntyre P, Prasad K, van de Beek D. Corticosteroids for acute bacterial meningitis. Cochrane Database of Systematic Reviews 2013, Issue 6. Art. No.: CD004405.
Tsai MS, Chuang PY, et al. Glucocorticoid use during cardiopulmonary resucitation may be beneficial for cardiac arrest. International Journal of Cardiology 2016 Nov 1;222:629-35.
Botnaru T, Altherwi T, Dankoff J. Improved neurologic outcomes after cardiac arrest with combined administration of vasopressin, steroids, and epinephrine compared to epinephrine alone. CJEM. 2015 Mar;17(2):202-5
Whitlock RP, Chan S, Devereaux PJ, et al. Clinical benefit of steroid use in patients undergoing cardiopulmonary bypas: a meta-analysis of randomized trials. Eur Heart J 2008;29: 2592–600.
Dieleman JM, Nierich AP, Rosseel PM et al. Intraoperative high-dose dexamethasone for cardiac surgery: a randomized controlled trial. JAMA 308:1761–1767. 2012
Whitlock RP, Devereaux PJ, Teoh KH et al. Methylprednisolone in patients undergoing cardiopulmonary bypass (SIRS): a randomised, double-blind, placebo-controlled trial. Lancet 386(10000):1243–1253.2015
Rhodes A et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Critical Care Med 2017; 45 (3): 486-552.
Dellinger R.P., M.M. Levy, JM Carlet, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2012. Critical Care Med 2013 Feb; 41(2): 580-637
Dellinger R.P., M.M. Levy, JM Carlet, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2008. Critical Care Medicine 2008 Jan;36(1):296-327.
Venkatesh B et al. Adjunctive glucocorticoid therapy in patients with Septic Shock. ADRENAL Trial Investigators and the Australian–New Zealand Intensive Care Society Clinical Trials Group. N Engl J Med. 2018 Jan 19
Herrán. Monge R., et al. Epidemiology and Changes in Mortality of Sepsis after the Implementation of Surviving Sepsis, Campaign Guidelines. J. Intensive Care Med 2017 Jan.
Ranieri VM, et al. Acute respiratory distress syndrome: the Berlin definition. JAMA 2012 Jun 20;307 (23):2526-33
Ruan SY, Lin HH, Huang ChT. Exploring the heterogeneity of effecs of corticosteroids on acute respiratory distress syndrome: a systematic review and meta-analysis. Critical Care 2014,18:R63.
Meduri GU, Bridges L, Shin MC et al. Prolonged glucocorticoid treatment is associated with improved ARDS outcomes: analysis of individual patients’ data from four randomized trials and trial-level metaanalysis of the updated literature. Intensive Care Med (2016) 42(5):829–840
Stern A, Skalsky K, Avni T, Carrara E, Leibovici L, Paul M. Corticosteroids for pneumonia. Cochrane Database of Systematic Reviews. 2017, 12
Jesse W. Delaney, Ruxandra Pintor et. al. and on behalf of the Canadian Critical Care Trials Group H1N1 Collaborative. Delaney et al. The influence of corticosteroid treatment on the outcome of influenza A (H1N1pdm09)-related critical illness. Critical Care (2016) 20:75
Brouwer MC, McIntyre P, Prasad K, van de Beek D. Corticosteroids for acute bacterial meningitis. Cochrane Database of Systematic Reviews 2013, Issue 6. Art. No.: CD004405.
Tsai MS, Chuang PY, et al. Glucocorticoid use during cardiopulmonary resucitation may be beneficial for cardiac arrest. International Journal of Cardiology 2016 Nov 1;222:629-35.
Botnaru T, Altherwi T, Dankoff J. Improved neurologic outcomes after cardiac arrest with combined administration of vasopressin, steroids, and epinephrine compared to epinephrine alone. CJEM. 2015 Mar;17(2):202-5
Whitlock RP, Chan S, Devereaux PJ, et al. Clinical benefit of steroid use in patients undergoing cardiopulmonary bypas: a meta-analysis of randomized trials. Eur Heart J 2008;29: 2592–600.
Dieleman JM, Nierich AP, Rosseel PM et al. Intraoperative high-dose dexamethasone for cardiac surgery: a randomized controlled trial. JAMA 308:1761–1767. 2012
Whitlock RP, Devereaux PJ, Teoh KH et al. Methylprednisolone in patients undergoing cardiopulmonary bypass (SIRS): a randomised, double-blind, placebo-controlled trial. Lancet 386(10000):1243–1253.2015
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2020-09-10
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De la Calle Gil, I., Carvajal Revuelta, E., & García Álvarez, R. (2020). Nuevas recomendaciones sobre el uso de corticoides en el paciente crítico. Revista Electrónica AnestesiaR, 10(11), 6. https://doi.org/10.30445/rear.v10i11.649
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