25: Should stress-dose steroids be given?
Depth of Anesthesia
Intro
This chapter discusses the vital role of mental health resources for healthcare professionals, particularly in anesthesia, through the Emotional PPE Project. It also foreshadows a compelling guest discussion on the use of steroids in treatment, paving the way for a deeper understanding of this significant medical issue.
In this episode, Dr. Jonathan Charnin and Dr. Daniel Saddawi-Konefka join us to explore the evidence around perioperative stress dose steroids and adrenal insufficiency.
Thanks for listening!
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Music by Stephen Campbell, MD.
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References
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Bromberg JS, Baliga P, Cofer JB, et al. Stress steroids are not required for patients receiving a renal allograft and undergoing operation. J Am Coll Surg 1995;180:532–536.
Christy NP. Corticosteroid withdrawal. In: Current Therapy in Endocrinology and Metabolism, 3rd Ed, Bardin CW (Ed), BC Decker, New York 1988. P.113.
Glowniak JV, Loriaux DL. A double-blind study of perioperative steroid requirements in secondary adrenal insufficiency. Surgery. 1997 Feb;121(2):123-9. doi: 10.1016/s0039-6060(97)90280-4. PMID: 9037222.
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