Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Corticoid: Các Bằng Chứng. Cơ Sở Đưa Ra Chế Độ Bổ Sung Glucocorticoid Trong Thời Gian Phẫu Thuật Cho Những Bệnh Nhân Đang Điều Trị Bằng Corticoid Mạn Tính
Tóm tắt
Việc bổ sung steroid trong thời gian phẫu thuật cho những bệnh nhân sử dụng thuốc glucocorticoid mạn tính được coi là tiêu chuẩn trong chăm sóc y tế. Mục tiêu của bài viết này là trình bày các chiến lược nhằm tránh xảy ra tình trạng thiếu hụt vỏ thượng thận cấp (AAI), một biến chứng có thể gây tử vong đã được mô tả trong một số báo cáo ca bệnh. Tuy nhiên, vẫn còn nhiều nghi ngờ về tính liên quan lâm sàng của thực hành này. AAI được mô tả trong tài liệu như là một hiện tượng hiếm gặp, và có rất ít bằng chứng cho thấy tần suất xảy ra của nó giảm khi sử dụng steroid bổ sung. Mặt khác, cortisol trong huyết tương đóng vai trò quan trọng trong việc duy trì sự ổn định huyết động trong giai đoạn phản ứng căng thẳng do phẫu thuật. Bài tổng quan này sẽ cung cấp cái nhìn tổng quát về các khuyến nghị dành cho trẻ em đã được công bố liên quan đến việc bổ sung steroid trong thời gian phẫu thuật và chi tiết hóa cơ sở bằng chứng ủng hộ cho thực hành này.
Từ khóa
#bổ sung steroid #thiếu hụt vỏ thượng thận cấp #glucocorticoid #phẫu thuật #chăm sóc y tếTài liệu tham khảo
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