Cases in critical care no 13 Hematology HLH :Ganga Ram- DRS GOGIA , KOTHARI , TANVI, TAPESH BANSAL

[@pallavibojja5142]

Very good discussion sir... thank you a lot 🙏

[@joshiankit4592]

Really appreciate efforts of the team in disseminating gem of knowledge across..Thankyou sir

[@youngindiaintensivist7709]

👍

[@ritathomas3353]

Appreciate the efforts ..thank you for the discussion

[@youngindiaintensivist7709]

🙂👍

[@VadhanPrasanna]

thankyou sir for bringing up this nice discussion

[@youngindiaintensivist7709]

😊

[@saketdaokar6861]

Thank you sir

[@youngindiaintensivist7709]

😊

[@anwarahmed7123]

Treatment of hlh ?

[@youngindiaintensivist7709]

@anwar,,, HLH-94 Protocol (most commonly used):
1Initial Immunosuppressive and Cytotoxic Therapy
Etoposide: Key agent to suppress overactive immune cells.
Dexamethasone: High-dose steroid to reduce inflammation.
Cyclosporine A (CSA): Added in some cases to control T-cell activation.
Intrathecal therapy (methotrexate) may be needed if there is CNS involvement.
2. Treat the Underlying Trigger
3 bmt in some

[@nathgoody5905]

Was Pct done at initial days? Culture sent?

[@youngindiaintensivist7709]

pl see @12.59. they r done

[@nathgoody5905]

Patient is bleeding, multiple ulcers, are steroids safe? Of course, septic shock you have to add

[@youngindiaintensivist7709]

Steroids by themselves do not cause ulceration . However with other risk factors one has to give ppi. And septic shock one gas to give ppi

[@youngindiaintensivist7709]

If steroids are indicated for some condition then under of ppi one may give