Steroids in a case of respiratory distress syndrome
Keywords:
síndrome de distrés respiratorio agudo, esteroide, ventilación mecánica / acute respiratory distress syndrome, steroid, mechanical ventilation.Abstract
The use of steroids in acute respiratory distress syndrome has been a subject of frequent debate in intensive care units. We report a case of a patient admitted to Ivan Portuondo General Teaching Hospital with skin and soft tissue infection, which was complicated by a respiratory distress. Alveolar recruitment maneuvers were applied as ventilation strategy and no improvement was obtained with oxygenation. Metilprednisolona was indicated on the seventh day of diagnosis and favorable evolution was observed in less than 72 hours, allowing removal of mechanical ventilation. In conclusion, steroids should be indicated in prolonged dose, in a small subgroup of patients with unresolved or delayed respiratory distress, in the fibrotic or fibroproliferative phase, after the seventh day and before day 14 of the diagnosis.
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References
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