DOI: https://doi.org/10.22141/2224-0586.4.91.2018.137855

Corticosteroid insufficiency in critically ill adult patients

L.O. Maltseva, M.F. Mosentsev, V.M. Lisnycha, A.O. Levchuk

Abstract


This article presents a literature review of the corticosteroid insufficiency syndrome in critically ill patients. The etio­logy of this syndrome, the incidence among patients of intensive care units, risk factors, diagnosis and approaches to intensive care according to the new international guidelines are described. Search of materials was carried out in such databases: Scopus, Web of Science, CyberLeninka. Studies for the past ten years are considered on the use of different doses of glucocorticosteroids in post-traumatic and perioperative periods. Grading strength of recommendation and quality of evidence of clinical guidelines are presented according to the Grading of Recommendations Assessment, Development and Evaluation methodology.

Keywords


corticosteroid insufficiency; intensive care; international guidelines; review

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