Вставка
- Опубліковано 23 гру 2023
- *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,
The ICU Channel is a project by Educational Society of Bedside Intensive Care Medicine (ESBICM) for providing forever free bedside intensive care education to doctors and nurses working in ICU & ED.
Other than this channel, we provide the following streams of learning; have a look below, we would love to see you there.
1. ESBICM forums for detailed discussions: esbicm.com/forums
2. Telegram grp for Dr Ankur’s voice clips, explanation and reference articles: t.me/theicuchannel
3. Instagram for behind the scenes and light moments from ICU: / theicuchannel
4. Online critical care classes esbicm.com/esbicm-online-crit...
Free ESBICM membership for healthcare professionals esbicm.com/become-an-esbicm-m...
Apply for becoming ESBICM Academic Volunteer esbicm.com/become-an-esbicm-a...
Collaborate with ESBICM esbicm.com/collaborate-with-e...
If you feel that there is some update on the above video topic, do post in the comments section or you can contact us at esbicm.com/contact-us-esbicm/
Playlists on The ICU Channel by ESBICM channel:
1. ICU Core topics • ICU Core topics
2. Theory lectures and clinical case discussions for and from ICU • Theory lectures and cl...
3. ICU investigations, imaging, drugs, equipment(s) and procedures • ICU investigations, im...
4. Mechanical Ventilation and ABGs • Mechanical Ventilation...
5. Practical tips, interesting observations and experiences from ICU • Practical tips, intere...
6. Intensive Care Nursing (both for ICU and emergency department) • Intensive / Critical C...
7. ICU livestreams and uncut online/offline classes • ICU livestreams and un...
8. Nightmares in ICU • Nightmares in ICU
9. Miscellaneous topics • Miscellaneous topics
10. ESBICM members exclusive ICU content • ESBICM members exclusi...
We hope that this small effort of ours will be of help to healthcare professionals working in ICU and emergency department and ultimately will improve the care of critically ill patients. #theicuchannel
Thank you.
Dr. Ankur, Intensivist.
Founder President, ESBICM
Keep learning!
drankur [at] esbicm.org
Disclaimer: esbicm.com/disclaimer/
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 .
Hydrocortisone..... H.
High or Quick in action..
Methylprednisolone....M..medium in action.,
Dexamethasone....D. Delayed action and effects, action for Days.
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
Sir, wonderful explanation. What a selfless professional !
What gem of advices. Thank you, Dr. Ankur.
One of the best lecture vedio on internet oh my god sir I just want to thank you thousands times ...love you boss
Thanks for explaining in simple and best possible words
I'm learning a lot from your lectures 🙏
keep doing this good job of educating (creating more Doctors) Dr.
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.
I was sitting in a bus on way to hospital. And i open this video thanks alot sir... ❤️❤️❤️❤️
Amazing Sir. Keep it up for us.
Thanks sir for covering this imp topic concisely...
Crisp and perfect .... Thank you sir
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?
Amazing video sir….cleared the concept….
Very informative. Thank you sir...
Truly very insightful topic sir
Well explained sir,thank you.
Very well explained.. thank you..
Keep going sir ❤🙏👍
Very informative
Thank you doctor...Very nice explanation...you are the god of this topic...Thank you so much
Excellently explained
Very Helpful information
Thank you sir!!😄
Thank you sir for the good work
Very useful information Sir.Thank you so much
Excellent explanation 👌
Very nice video..
Very good sir.I need more like this.
This was very informative sir! Thank you 🙏
Great info, thank you.
Very informative ❤
Excellent sir
You are making super Topics 👍🏻
Very well explained.
very good explanation..thank you sir 😊
Wow thank you very much sir
Thanks sir
Keep doing videos
Im gd intensivist from hyderabad
It is helping me
May Allah bless you sir. You are doing great work for the community.
Amazing
🫡 salute to you. Very simple, concisely to the point and very comprehensible. Thanks for clearing our concepts.
Thank you sir. Thank you very much.. very much needed.. love from Pakistan ❤❤
Very nice explanation sir!!!!
V nice explanation sir
Nice video
Best. Thank you🎉
Nice
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
Thanks, got enough knowledge.
Really helpful..and very precise.. thanks alot......wud really appreciate videos on managing emergencies ,Ike dka,hhs, hyponatremia, substance abuse cases
Thanks alot sir..
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.
Nice content❤
Shandar, jabarjast, jindabaad
Very good 👍 👏
Excellent explanation /discussion.
Glad you liked it!
Thank you so much sir.
Excellent explanation! Thank you!
Glad you enjoyed it!
Really informative video, Thank you
Glad it was helpful!
Superb. Each word is full of information.
Glad you liked it
Thank you sir
Thank u so much sir 😊
Thank you for this good and simple explanation
Thanks and welcome to ESBICM
Excellent and brief but very thoughtful explanation…thank you sir
Thank you so much sir 🙏
In Simple way very much information covered, thnku sir
Can upload more topic on different Drugs in using which condition
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
Sir great respect for you! Wish to be on rounds with you!!
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 🙏
Thank you dr ….
Thanku Sir
Thank u sir 🙏
❤Sir a cordiall wellwish from Srinagar ,classic comprehensive work ,I hope this will continue ,may god bless you.Requesting for management of hypertensive emergencies.
Thank you. Very useful
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.
Great job sir
Love and respect from Afghanistan ❤
thanks for your joining and ur support... lots of wishes from India.
thank u Sir
Nice explanation sir
Thanks and welcome to ESBICM
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 ❤
Thanku you sir 🙏
Thank you 🎉
You’re welcome 😊
Thanks!
Welcome!
Sir Charan sparsh....foolo se shahad nikal kr dene ke liye!!
Sir kindly make a separate videos regarding widal and typhii dot..
Accuracy, analysis etc...
Thanks in advance
Thank you so much sir 🎉🎉
Most welcome
Thanks so much
From sri lanka
Thanks and welcome from India 🇮🇳
Sir make shorts, whith lots of knowledge
Thank you sir so much
Most welcome
Hi , it was very helpful and informative , could you plz specify/comments dosages of these steroids accordingly and taper off ???
Thanks buddy
Any time
Great explanation
thanks karan. hope you are doing well.
@@TheICUChannel yes sir, I'm doing well ✨
Sir can you make similar video on different insulin preparations and their right use and maybe devices also
Sir,Kindly make Similar video on Diuretics-Difference...
Jai hind sir
Thank u sir ❤❤❤❤❤
Sir common medical emergencies case wise should be included some time ..
❤❤❤
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.
@@DrYadav507 there are so many institutes providing fellowships and isccm is also providing ctccm for 2 years
@@DrYadav507 Any Corporate Hospital Fellowship. No need of college.
@@DrYadav507 MD, DNB(PAEDS), MNAMS itna he kaafi hai.
@@DrYadav507 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.
Sir can you please briefly discuss the effect of SGLT2 inhibitor on RAAS system activity
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 .