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'
Hydrocortisone..... H. High or Quick in action.. Methylprednisolone....M..medium in action., Dexamethasone....D. Delayed action and effects, action for Days.
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?
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.
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.
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.
@@BLUEBIRDclinic 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.
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.
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....!!
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 .
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
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 a cordiall wellwish from Srinagar ,classic comprehensive work ,I hope this will continue ,may god bless you.Requesting for management of hypertensive emergencies.
Sir ,that was a very usefull class. Can u take same type of class for hypocalcaemia management. ? Like when to give 10% over 10mins , 2gm in 100ml ns ,6gm in 5%dns for 24hrs ... Hope I'm right ?
i had posted this in the comment already, posting again 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.
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.
Brilliant
For the first time in 35 years i understood so well and easily.
Glad it helped
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
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?
Really helpful..and very precise.. thanks alot......wud really appreciate videos on managing emergencies ,Ike dka,hhs, hyponatremia, substance abuse cases
Thanks alot sir..
I was sitting in a bus on way to hospital. And i open this video thanks alot sir... ❤️❤️❤️❤️
keep doing this good job of educating (creating more Doctors) Dr.
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
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.
As you sir …that dexa is very long acting. But we have seen that dexa is prescribed three times a day or something. Why is that so?
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.
@@BLUEBIRDclinic there are so many institutes providing fellowships and isccm is also providing ctccm for 2 years
@@BLUEBIRDclinic Any Corporate Hospital Fellowship. No need of college.
@@BLUEBIRDclinic MD, DNB(PAEDS), MNAMS itna he kaafi hai.
@@BLUEBIRDclinic 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.
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.
May Allah bless you sir. You are doing great work for the community.
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 🙏
Love and respect from Afghanistan ❤
thanks for your joining and ur support... lots of wishes from India.
Thanks for explaining in simple and best possible words
I'm learning a lot from your lectures 🙏
Very informative
Thank you doctor...Very nice explanation...you are the god of this topic...Thank you so much
Thanks sir
Keep doing videos
Im gd intensivist from hyderabad
It is helping me
Superb. Each word is full of information.
Glad you liked it
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....!!
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 .
🫡 salute to you. Very simple, concisely to the point and very comprehensible. Thanks for clearing our concepts.
Very informative ❤
Truly very insightful topic sir
Which is best book for emergency medicine
You are making super Topics 👍🏻
Great info, thank you.
What gem of advices. Thank you, Dr. Ankur.
Thank you for this good and simple explanation
Thanks and welcome to ESBICM
In Simple way very much information covered, thnku sir
Can upload more topic on different Drugs in using which condition
Thank you sir. Thank you very much.. very much needed.. love from Pakistan ❤❤
Excellently explained
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
Crisp and perfect .... Thank you sir
Excellent explanation /discussion.
Glad you liked it!
Thanks sir for covering this imp topic concisely...
Thank you so much sir it's so informative for me
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 can you make similar video on different insulin preparations and their right use and maybe devices also
Very useful information Sir.Thank you so much
Amazing video sir….cleared the concept….
Hi , it was very helpful and informative , could you plz specify/comments dosages of these steroids accordingly and taper off ???
Very well explained.
❤Sir a cordiall wellwish from Srinagar ,classic comprehensive work ,I hope this will continue ,may god bless you.Requesting for management of hypertensive emergencies.
Shandar, jabarjast, jindabaad
Sir kindly make a separate videos regarding widal and typhii dot..
Accuracy, analysis etc...
Thanks in advance
Very good sir.I need more like this.
Very Helpful information
Thank you sir!!😄
very good explanation..thank you sir 😊
Thank you sir for the good work
Sir, can u please make videos about how to prepare for EDIC exam & what books & what are the topics to study??
Soon , it’s next on list .
Well explained sir,thank you.
Excellent sir
Very informative. Thank you sir...
V nice explanation sir
Really informative video, Thank you
Glad it was helpful!
Sir Charan sparsh....foolo se shahad nikal kr dene ke liye!!
Very well explained.. thank you..
Amazing Sir. Keep it up for us.
Very nice explanation sir!!!!
Sir, Can you please explain the onset of action. Thank you.
Excellent explanation! Thank you!
Glad you enjoyed it!
Sir,Kindly make Similar video on Diuretics-Difference...
Nice explanation sir
Thanks and welcome to ESBICM
Wow thank you very much sir
In dengue with severe thrombocytopenia, I have seen practice of giving dexamethasone to increase platelet count. What's mechanism behind it.
Sir common medical emergencies case wise should be included some time ..
Excellent explanation 👌
This was very informative sir! Thank you 🙏
Sir can you please briefly discuss the effect of SGLT2 inhibitor on RAAS system activity
Great job sir
thanks and welcome to ESBICM
Sir can you make a video on Vasopressors and inotropes..
Very nice video..
Excellent and brief but very thoughtful explanation…thank you sir
Keep going sir ❤🙏👍
Nice video
Best. Thank you🎉
In autoimmune disorder like in lupus nephritis or in others we use solomedrol rather I think we should use dexa???
Very good 👍 👏
Dr thanks for the vedio
I have doubt regarding methylpred normal dosing and pulse therapy high dosing , significance.
Can we give anticoagulation in patients who have Intracranial bleed and Venous Thrombosis simultaneously
Amazing
Thanks, got enough knowledge.
Great explanation
thanks karan. hope you are doing well.
@@TheICUChannel yes sir, I'm doing well ✨
What is advised in septic shock? Inotropes or steriods?
Kindly make video on antibiotics used in icu.
It’s already there on the channel
Sir ,that was a very usefull class. Can u take same type of class for hypocalcaemia management. ? Like when to give 10% over 10mins , 2gm in 100ml ns ,6gm in 5%dns for 24hrs ... Hope I'm right ?
Thanks so much
From sri lanka
Thanks and welcome from India 🇮🇳
Sir One session for....prevention of deep vein thrombosis in ccu patient
Sir make shorts, whith lots of knowledge
Nice content❤
Sir how does the pulse dose of steroids works differently from our regular dose? Like using in patients with bone marrow suppression
Sir steroids are secreted in adrenals not by kidney otherwise very informative practically very useful
yes, it was slip of tongue, i have corrected in the description and also pinned the first comment. thank you.
Nice
Hello sir what about deflzacort ....????and sir which steroids in organ transplant..????
Sir, duration of effect u explained very well, but what are the onset time for these three? Plz
i had posted this in the comment already, posting again
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.