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- čas přidán 23. 12. 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,
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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 .
Hydrocortisone..... H.
High or Quick in action..
Methylprednisolone....M..medium in action.,
Dexamethasone....D. Delayed action and effects, action for Days.
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.
One of the best lecture vedio on internet oh my god sir I just want to thank you thousands times ...love you boss
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
keep doing this good job of educating (creating more Doctors) Dr.
Thanks for explaining in simple and best possible words
I'm learning a lot from your lectures 🙏
I was sitting in a bus on way to hospital. And i open this video thanks alot sir... ❤️❤️❤️❤️
What gem of advices. Thank you, Dr. Ankur.
Amazing Sir. Keep it up for us.
Keep going sir ❤🙏👍
Amazing video sir….cleared the concept….
Truly very insightful topic sir
Crisp and perfect .... Thank you sir
Thank you doctor...Very nice explanation...you are the god of this topic...Thank you so much
Thanks sir for covering this imp topic concisely...
Well explained sir,thank you.
Very informative
Very nice video..
Very informative. Thank you sir...
Very Helpful information
Thank you sir!!😄
Thanks sir
Keep doing videos
Im gd intensivist from hyderabad
It is helping me
Very useful information Sir.Thank you so much
Excellent explanation 👌
Very well explained.. thank you..
Thank you sir for the good work
🫡 salute to you. Very simple, concisely to the point and very comprehensible. Thanks for clearing our concepts.
very good explanation..thank you sir 😊
Excellent sir
Thank you sir. Thank you very much.. very much needed.. love from Pakistan ❤❤
Excellently explained
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?
Very informative ❤
This was very informative sir! Thank you 🙏
You are making super Topics 👍🏻
Wow thank you very much sir
Nice video
V nice explanation sir
Amazing
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.
Great info, thank you.
Very well explained.
May Allah bless you sir. You are doing great work for the community.
Very good sir.I need more like this.
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
Nice
Best. Thank you🎉
Very nice explanation sir!!!!
Shandar, jabarjast, jindabaad
Excellent explanation /discussion.
Glad you liked it!
In Simple way very much information covered, thnku sir
Can upload more topic on different Drugs in using which condition
Very good 👍 👏
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
Nice content❤
Thanks, got enough knowledge.
Really informative video, Thank you
Glad it was helpful!
Excellent explanation! Thank you!
Glad you enjoyed it!
Superb. Each word is full of information.
Glad you liked it
Thank you so much sir.
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 🙏
❤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 for this good and simple explanation
Thanks and welcome to ESBICM
Thank u so much sir 😊
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 job sir
thanks and welcome to ESBICM
Thank you sir
Nice explanation sir
Thanks and welcome to ESBICM
Thank you so much sir 🙏
Excellent and brief but very thoughtful explanation…thank you sir
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 great respect for you! Wish to be on rounds with you!!
Thank you dr ….
Great explanation
thanks karan. hope you are doing well.
@@TheICUChannel yes sir, I'm doing well ✨
Love and respect from Afghanistan ❤
thanks for your joining and ur support... lots of wishes from India.
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.
Thank u sir 🙏
Hi , it was very helpful and informative , could you plz specify/comments dosages of these steroids accordingly and taper off ???
Thank you. Very useful
Glad it was useful .
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
Thanku Sir
thank u Sir
Sir can you make similar video on different insulin preparations and their right use and maybe devices also
Thanku you sir 🙏
Thanks so much
From sri lanka
Thanks and welcome from India 🇮🇳
Thank you so much sir 🎉🎉
Most welcome
Sir make shorts, whith lots of knowledge
Thank you 🎉
You’re welcome 😊
Thank you sir so much
Most welcome
Sir,Kindly make Similar video on Diuretics-Difference...
Thanks!
Welcome!
Sir common medical emergencies case wise should be included some time ..
Sir can you please briefly discuss the effect of SGLT2 inhibitor on RAAS system activity
Thanks buddy
Any 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.
What is advised in septic shock? Inotropes or steriods?
Can we give anticoagulation in patients who have Intracranial bleed and Venous Thrombosis simultaneously
In autoimmune disorder like in lupus nephritis or in others we use solomedrol rather I think we should use dexa???