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- เผยแพร่เมื่อ 21 ธ.ค. 2024
- *in the beginning of the video at 1.14 min, there is slip of tongue, it's adrenal gland NOT kidney from where corticosteroids are secreted.
Onset of action (missed in the video)
Hydrocortisone Onset of action: IV: 1 hour.
Methylprednisolone Onset of action: IV (succinate): Within 1 hour; Intra-articular (acetate): 1 week
Dexamethasone Onset of action: IV: Rapid.
Difference between various corticosteroids in ICU specifically Hydrocortisone, Methylprednisolone, Dexamethasone
#steroids_in_icu
This above video has tried to address and explain the following things:
Why we use difference steroids in icu,
difference between Hydrocortisone Methylprednisolone Dexamethasone,
when to use which corticosteroid in icu,
glucocorticoid and mineralocorticoid activity of corticosteroid,
duration of action of different corticosteroids,
orticosteroids explained in a simple way,
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Sir, in the very beginning there seems to be a small slip of tongue on site of steroid secretion falsely uttered as 'kidney' rather than 'adrenal gland'
Oh yes, thank you for pointing out . Pinning your comment 🙏🏼🤝
Thank you sir
@@TheICUChannel sir video me cut edit krlo
Can’t edit once uploaded
Can u tell what’s wrong in it .
If you all still have any doubt regarding this concept, do let me know in the comment. Thank you
Sir the onset of action of individual steroids need to discussed.
Why hydrocortisone is frequently used in respiratory conditions like asthma or treatment of wheeze if it has low antiinflammatory activity
Sir I have a doubt. Dexa has 25x glucocorticoid activity then hydrocort. So 4mg dexa roughly eqates to 100mg hydrocort in terms of potency. For example, if we're using 100mg TID hydrocort in patient A & 4mg TID dexa in patient B then the anti inflammatory(glucocorticoid) effect in both scenarios should be theoretically same. Of course in patient A, there's added benefit of increasing MAP but there shouldn't be adverse increased immunocompromised effect in patient B(since total equipotent dosage is still same in both patients). Isn't it sir?
Hydrocortisone..... H.
High or Quick in action..
Methylprednisolone....M..medium in action.,
Dexamethasone....D. Delayed action and effects, action for Days.
I was sitting in a bus on way to hospital. And i open this video thanks alot sir... ❤️❤️❤️❤️
Sir doing God's work. I work in a icu and I have learnt so much from him.
Sir please make an explanation of the sedatives used in a ventilated patient
Brilliant
For the first time in 35 years i understood so well and easily.
Glad it helped
keep doing this good job of educating (creating more Doctors) Dr.
Sir, wonderful explanation. What a selfless professional !
Superb sir. In Pediatrics MP is mainly used in Neurology conditions viz. Autoimmune Encephalitis, MS, NMO Spectrum, MISC. Yes Dexa is same as you highlighted.
Very informative for Residents and Young Intensivist.
Really helpful..and very precise.. thanks alot......wud really appreciate videos on managing emergencies ,Ike dka,hhs, hyponatremia, substance abuse cases
Thanks alot sir..
One of the best lecture vedio on internet oh my god sir I just want to thank you thousands times ...love you boss
Thanks!
Welcome!
Being a Homoeopath see lot of asthma cases n need the proper knowledge of steroids which r at times life saving . But today I came to know how they help n work . Thank you v sir for giving simpler understanding n right direction.
Beautiful explanation to the point . I was traveling to my hospital accidentally utube suggested this video. Glad it did 😊 . Thnk u sir .
Wow, thanks a lot and welcome to ESBICM
@@TheICUChannel thnk u 🙏
Superb. Each word is full of information.
Glad you liked it
Very informative
Thank you for this lecture. May I suggest some questions/topics?
- Fluid and electrolyte balance
- Thromboprophylaxis
- How to know when to step up or down on treatment in terms of antibiotics, ventilator settings, diuretics, etc.
Finally, some case studies of important ICU cases, starting from when patient is brought to ICU, all the way til patient can be shifted out, where we can follow along the treatment, and understand how to manage new issues, stepping down/up treatment and specific treatment of the main condition.
Thank you so much for these lectures, really appreciate your work, watching from outside India.
These are very basics. Please get into ICU Fellowship for 1 year you will get all the answers.
@@BLUEBIRDclinic there are so many institutes providing fellowships and isccm is also providing ctccm for 2 years
@@BLUEBIRDclinic Any Corporate Hospital Fellowship. No need of college.
@@BLUEBIRDclinic MD, DNB(PAEDS), MNAMS itna he kaafi hai.
@@BLUEBIRDclinic Get MD Anaesthesia anywhere. It's very easy to get. You will become an Intensivist. After MBBS there is no scope of becoming an Intensivist.
Great video sir can you also make a similar video explaining how to upgrade and downgrade antibiotics and what antibiotics to choose in various gram +ve and gram -ve bacterial infection/sepsis in ICU setting.
Which is best book for emergency medicine
Query - Although different corticosteroids have different potency, but their dosages are also different e.g Hydrocortisone usually given 100-200mg per dose but Dexa given 6-8 mg per dose(i.e higher potency but lower dose) .So the difference in potency doesn't seem to be a factor for choosing the type of corticosteroid as the difference in potency is balanced out by lowering of dosage.
Yes true it’s balanced , still the effect is more is adjusted doses if u see the table and also predominant effect also plays a role in it . See the indications of corticosteroids table and analyse the pattern in which they are given .
Love and respect from Afghanistan ❤
thanks for your joining and ur support... lots of wishes from India.
Thank you doctor...Very nice explanation...you are the god of this topic...Thank you so much
Thank you for this good and simple explanation
Thanks and welcome to ESBICM
Thanks sir
Keep doing videos
Im gd intensivist from hyderabad
It is helping me
Very informative ❤
Truly very insightful topic sir
Thanks for explaining in simple and best possible words
I'm learning a lot from your lectures 🙏
You are making super Topics 👍🏻
Amazing video sir….cleared the concept….
Excellent explanation /discussion.
Glad you liked it!
Shandar, jabarjast, jindabaad
Crisp and perfect .... Thank you sir
May Allah bless you sir. You are doing great work for the community.
Really informative video, Thank you
Glad it was helpful!
Very useful information Sir.Thank you so much
Nice explanation sir
Thanks and welcome to ESBICM
Thank you sir. Thank you very much.. very much needed.. love from Pakistan ❤❤
Very Helpful information
Thank you sir!!😄
very good explanation..thank you sir 😊
What gem of advices. Thank you, Dr. Ankur.
Amazing Sir. Keep it up for us.
🫡 salute to you. Very simple, concisely to the point and very comprehensible. Thanks for clearing our concepts.
Great info, thank you.
Great job sir
thanks and welcome to ESBICM
Clean crispy talk....hats off
sir....Kindly make a video on Management of weaning failure after prolonged ventilation sir..&..role of Respiratory Stimulants in it....!!
Thank you so much sir it's so informative for me
In dengue with severe thrombocytopenia, I have seen practice of giving dexamethasone to increase platelet count. What's mechanism behind it.
Thanks sir for covering this imp topic concisely...
Sir please modes of ventilator
th-cam.com/video/2Tifqd8Ybmk/w-d-xo.html
Well explained sir,thank you.
Very informative. Thank you sir...
Ur like gold to us ..I'm studied more critical care books for mechanical ventilation but with help of ur vedios I learned more than books..and this differentiation of steroid topic help us to choose which steroid depending upon the situation of patient in ICU..❤❤❤THANK YOU Sir
Thank u for your kind words and welcome to ESBICM
Very good sir.I need more like this.
Excellently explained
Very well explained.
Thank you sir for the good work
Very nice explanation sir!!!!
Excellent explanation! Thank you!
Glad you enjoyed it!
Very well explained.. thank you..
Excellent sir
Wow thank you very much sir
Sir Charan sparsh....foolo se shahad nikal kr dene ke liye!!
Sir, can u please make videos about how to prepare for EDIC exam & what books & what are the topics to study??
Soon , it’s next on list .
V nice explanation sir
Very nice video..
Nice video
What to use for allergic reaction due to any insect bite or plant ,should we use dexa or hydrocortisone.
dexamethasone theoretically. but previous algorithm uses hydrocortisone. now they are 2nd-3rd line. adrenaline is the first choice.
What is advised in septic shock? Inotropes or steriods?
Great explanation
thanks karan. hope you are doing well.
@@TheICUChannel yes sir, I'm doing well ✨
As you sir …that dexa is very long acting. But we have seen that dexa is prescribed three times a day or something. Why is that so?
Sir, Can you please explain the onset of action. Thank you.
Sir plz tell m the use of Steroids conversion table.
which one to use in pulmonary edema?
This was very informative sir! Thank you 🙏
Amazing
Excellent explanation 👌
Keep going sir ❤🙏👍
Kindly make video on antibiotics used in icu.
It’s already there on the channel
Which is good in B astham , copd exacerbation in adult n pediatric
Nice
Sir in CRF leading to Pulm Edema, dexamethasone will be used?
No
In Simple way very much information covered, thnku sir
Can upload more topic on different Drugs in using which condition
Dr thanks for the vedio
I have doubt regarding methylpred normal dosing and pulse therapy high dosing , significance.
Please provide honestly...What are the side effects of Solu Medrol (IV) taken for 2 days... and Depa Medrol (IM) Taken for 1 day.... taken for the treatment of tinnitus...
if you are a health care professional, u know that such short period usually don't have any side effect.
It was discussed that we use fludrocortisone in shock or refeeding syndrome, etc. my doubt is when we use fludrocort, wouldn't it cause renal failure? Does it have any effect on renal perfusion? Can it be still used if we suspect that patient is going into AKI? Can we use steroids with Diuretic in low renal output?
No role of steroids for AKI .
@@TheICUChannel what i was trying to ask is, is it safe to use steroids in pre renal AKI, for any other indication?
@kranthi3122 post on ESBICM forums
Hi , it was very helpful and informative , could you plz specify/comments dosages of these steroids accordingly and taper off ???
Sir can you make similar video on different insulin preparations and their right use and maybe devices also
sir what would be the preferable corticosteroid if a patient comes with pneumonic sepsis, and h/o high blood sugar and hypertension?
Hydrocortisone
In autoimmune disorder like in lupus nephritis or in others we use solomedrol rather I think we should use dexa???
Thanks so much
From sri lanka
Thanks and welcome from India 🇮🇳
Sir does speed of onset of action also plays a role in choosing steroid
Very good 👍 👏
Best. Thank you🎉
Sir can you make a video on Vasopressors and inotropes..
Thanks, got enough knowledge.
Sir, privileged to get your kind of useful information. I would like to say kindly mention the dose of these all drug and how to administrate as well ❤
Sir . Which is the best I v fluid used for paeds in cardiac ICU?
Can we give anticoagulation in patients who have Intracranial bleed and Venous Thrombosis simultaneously
Thank you sir; it is very helpful indeed but what about the onset of action? Do they start acting at the same time or is hydrocortisone has the most rapid onset of action?
I have mentioned in one the comments below . Please have a look at
Sir,one request,please make a video on Inotropes.
Already making, it was supposed to be released today but I got stuck … so May be this week
Thank you sir