Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency (CIRCI) in Critically Ill Patients (Part II)

Publication Date: January 1, 2018
Last Updated: March 14, 2022

Recommendations

COMMUNITY-ACQUIRED PNEUMONIA

We suggest the use of corticosteroids for 5−7 days at a daily dose < 400 mg IV hydrocortisone or equivalent in hospitalized patients with CAP. ( Conditional , Moderate )
607

INFLUENZA

We suggest against the use of corticosteroids in adults with influenza. ( Conditional , Very Low )
607

MENINGITIS

We recommend use of corticosteroids in patients with bacterial meningitis. ( Strong , Low )
607

CARDIOPULMONARY BYPASS SURGERY

We suggest use of corticosteroids in patients undergoing cardiopulmonary bypass surgery. ( Conditional , Moderate )
607

CARDIAC ARREST

We suggest use of corticosteroids in the setting of cardiac arrest. ( Conditional , Very Low )
607

Recommendation Grading

Overview

Title

Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency (CIRCI) in Critically Ill Patients (Part II)

Authoring Organizations

European Society of Intensive Care Medicine

Society of Critical Care Medicine

Publication Month/Year

January 1, 2018

Last Updated Month/Year

June 7, 2023

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

It provides guidelines for the diagnosis and management of critical illness-related corticosteroid insufficiency (CIRCI) in critically ill patients is related to acute illnesses that may be complicated by CIRCI

Target Patient Population

Critical ill patients with critical illness-related corticosteroid insufficiency

Inclusion Criteria

Female, Male, Adolescent, Adult, Older adult

Health Care Settings

Emergency care, Home health, Hospital

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Diagnosis, Management

Diseases/Conditions (MeSH)

D005938 - Glucocorticoids, D016638 - Critical Illness, D013256 - Steroids, D003345 - Corticosterone

Keywords

corticosteroids, critical illness, corticosteroids insufficiency

Source Citation

Critical Care Medicine: January 2018 - Volume 46 - Issue 1 - p 146-148
doi: 10.1097/CCM.0000000000002840

Supplemental Methodology Resources

Data Supplement, Data Supplement, Data Supplement