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Critical Care: Mechanical Ventilation & Respiratory Failure II |

Effects of Steroidal Therapy on the Incidence of Ventilator-Associated Events in a Northwestern Ohio Hospital

Nawaf Almeshal, MD; Talia Tarazi; William Barnett, MS; Aahd Kubbara, MD; Wail Alamoudi, MBBS; Reyna Altook, MBBS; Rasha Nakity, MBBS; Asif Iqbal, MD; Ajit Ramadugu; Shahnaz Rehman, MD; Fadi Safi, MD; Ragheb Assaly, MD
Author and Funding Information

University of Toledo, Toledo, OH


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):315A. doi:10.1016/j.chest.2016.08.328
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SESSION TITLE: Mechanical Ventilation & Respiratory Failure II

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Corticosteroids are commonly administered in critically ill patients for a variety of reasons. They were estimated to be used in about 26% of critically ill patients. Controversies have always surrounded their outcomes in the ICU. While they have been shown to increase death in Intensive Care Unit - acquired pneumonia, they have been proposed to prevent hospital acquired pneumonia in intubated patients with multiple trauma. In the Society of Critical Care Medicine guidelines, it was recommended to consider hydrocortisone treatment for patients with septic shock with no mortality benefit. Herein, we present a sample of an ongoing analysis of the use of hydrocortisone and the risk of Ventilator Associated Events compared to other steroids in our university hospital. Ventilator Asscoiated Events (VAE) defined by the CDC National Healthcare Safety Network developed in 2013.

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