1974
DOI: 10.1016/0300-9572(74)90004-5
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Corticosteroid therapy in traumatic shock

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Cited by 3 publications
(3 citation statements)
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“…Some researchers (22)(23)(24) reported that corticosteroids can be used in trauma patients, emphasizing that they increase cardiac output, decrease systemic and pulmonary vascular resistance, increase tissue perfusion and decrease the incidence of pulmonary thromboembolism. However, some researchers (25,26) argued that it may cause traumatic shock, increase morbidity and mortality by causing an increase in hyperglycemia, pneumonia risk and blood urea level in trauma patients, and did not recommend its use in trauma patients. They also emphasized that more studies are needed on the use of corticosteroids in trauma patients.…”
Section: Discussionmentioning
confidence: 99%
“…Some researchers (22)(23)(24) reported that corticosteroids can be used in trauma patients, emphasizing that they increase cardiac output, decrease systemic and pulmonary vascular resistance, increase tissue perfusion and decrease the incidence of pulmonary thromboembolism. However, some researchers (25,26) argued that it may cause traumatic shock, increase morbidity and mortality by causing an increase in hyperglycemia, pneumonia risk and blood urea level in trauma patients, and did not recommend its use in trauma patients. They also emphasized that more studies are needed on the use of corticosteroids in trauma patients.…”
Section: Discussionmentioning
confidence: 99%
“…4,[9][10][11][12] The marked increase in catecholamine levels using the decapitation method has been suspected to be due to the activation of adrenal tyrosine hydoxylase, the rate-limiting enzyme in the synthesis of catecholamines 22) and sympathoadrenal activation due to acute hemorrhage. 23,24) In contrast, it is thought that plasma DOPAC levels were less affected by decapitation, as the change in plasma DOPAC levels did not depend on adrenal tyrosine hydoxylase activity 4) and there was a time lag in the metabolism of DA to DOPAC. It is known that DOPAC levels measured in rat plasma using the decapitation method were increased by immobilization stress, 4) as occurred with RWI in the present study.…”
Section: Discussionmentioning
confidence: 99%
“…Other trials have failed to show these benefits or a survival advantage associated with GC administration . GC‐mediated adverse effects in traumatic shock include eosinophil granulocyte depression, sodium retention, hyperglycemia, gastrointestinal ulceration, increased blood urea nitrogen, and increased risk of pneumonia …”
Section: Glucocorticoids In Trauma and Hemorrhagic Shockmentioning
confidence: 99%