Steroids for aspiration pneumonia

The meta-analysis showed:

  • A relative risk favoring corticosteroids, of (95% CI to ) in 12 trials looking at all-cause mortality. The certainty was regarded as moderate, and the effect appeared to be driven by the severity of CAP.
  • In five studies, with 1,060 patients, a reduction in the need for mechanical ventilation in patients given corticosteroids. The relative risk was (95% CI to ) and the certainty was regarded as moderate because of a small number of events.
  • A relative risk of (95% CI to ) in four studies with 945 patients that had ARDS as an endpoint. Again because of small number of events, the certainty was regarded as moderate.
  • Consistent with the data on ventilation, the relative risk for ICU admission was (95% to ) in three studies with 950 patients. Certainty was moderate.
  • In six trials with 1,4999 patients, corticosteroids reduced the length of hospital stay by a day on average. The certainty was high.
  • In five trials with 1,180 patients, corticosteroids reduced the time to clinical stability by an average of days, with high certainty.
  • Corticosteroids increased the frequency of hyperglycemia requiring treatment in six trials with 1,534 patients. The relative risk was (95% CI to ) and the certainty was rates as high. There was no increase in the frequency of gastrointestinal hemorrhage.

If you need to consider inducing, start with natural methods to induce labor  like nipple stimulation and drinking a small amount of castor oil. Some people have expressed concern that if mama drinks castor oil , it can cause baby to have his first bowel movement. The study supporting this doesn’t factor in the likelihood of post-date women trying castor oil, or the likelihood of post-date babies passing meconium in utero. Discuss your options with your health care professional to see if they recommend induction in your situation. Also check your bishop score to help you decide if induction is right for you.

Steroids for aspiration pneumonia

steroids for aspiration pneumonia

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