#icutalk

Рет қаралды 114,926

6 ай бұрын

*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,
The ICU Channel is a project by Educational Society of Bedside Intensive Care Medicine (ESBICM) for providing forever free bedside intensive care education to doctors and nurses working in ICU & ED.
Other than this channel, we provide the following streams of learning; have a look below, we would love to see you there.
1. ESBICM forums for detailed discussions: esbicm.com/forums
2. Telegram grp for Dr Ankur’s voice clips, explanation and reference articles: t.me/theicuchannel
3. Instagram for behind the scenes and light moments from ICU: / theicuchannel
4. Online critical care classes esbicm.com/esbicm-online-crit...
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Apply for becoming ESBICM Academic Volunteer esbicm.com/become-an-esbicm-a...
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If you feel that there is some update on the above video topic, do post in the comments section or you can contact us at esbicm.com/contact-us-esbicm/
Playlists on The ICU Channel by ESBICM channel:
1. ICU Core topics • ICU Core topics
2. Theory lectures and clinical case discussions for and from ICU • Theory lectures and cl...
3. ICU investigations, imaging, drugs, equipment(s) and procedures • ICU investigations, im...
4. Mechanical Ventilation and ABGs • Mechanical Ventilation...
5. Practical tips, interesting observations and experiences from ICU • Practical tips, intere...
6. Intensive Care Nursing (both for ICU and emergency department) • Intensive / Critical C...
7. ICU livestreams and uncut online/offline classes • ICU livestreams and un...
8. Nightmares in ICU • Nightmares in ICU
9. Miscellaneous topics • Miscellaneous topics
10. ESBICM members exclusive ICU content • ESBICM members exclusi...
We hope that this small effort of ours will be of help to healthcare professionals working in ICU and emergency department and ultimately will improve the care of critically ill patients. #theicuchannel
Thank you.
Dr. Ankur, Intensivist.
Founder President, ESBICM
Keep learning!
drankur [at] esbicm.org
Disclaimer: esbicm.com/disclaimer/

Пікірлер: 262

@saikatmondal9164 6 ай бұрын

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'

@TheICUChannel 6 ай бұрын

Oh yes, thank you for pointing out . Pinning your comment 🙏🏼🤝

@psthankaraj3887 6 ай бұрын

Thank you sir

@vishavdeeprana 6 ай бұрын

@@TheICUChannel sir video me cut edit krlo

@TheICUChannel 6 ай бұрын

Can’t edit once uploaded

@TheICUChannel 6 ай бұрын

Can u tell what’s wrong in it .

@drowais 6 ай бұрын

Hydrocortisone..... H. High or Quick in action.. Methylprednisolone....M..medium in action., Dexamethasone....D. Delayed action and effects, action for Days.

@isyisy8282 6 ай бұрын

Sir, wonderful explanation. What a selfless professional !

@drdanishsaifi4675 6 ай бұрын

One of the best lecture vedio on internet oh my god sir I just want to thank you thousands times ...love you boss

@prasanthkandula2930 5 ай бұрын

keep doing this good job of educating (creating more Doctors) Dr.

@Joy_oishee 6 ай бұрын

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

@sujitroutray1 6 ай бұрын

What gem of advices. Thank you, Dr. Ankur.

@drpathan9853 5 ай бұрын

I was sitting in a bus on way to hospital. And i open this video thanks alot sir... ❤️❤️❤️❤️

@vikrantsingh8156 6 ай бұрын

Amazing Sir. Keep it up for us.

@GauravKumar-st1cd 6 ай бұрын

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.

@dnyaneshthesia 6 ай бұрын

Thanks for explaining in simple and best possible words I'm learning a lot from your lectures 🙏

@mukundrajta2576 6 ай бұрын

Crisp and perfect .... Thank you sir

@roseking84 6 ай бұрын

Thank you doctor...Very nice explanation...you are the god of this topic...Thank you so much

@mylifevlog1905 Ай бұрын

Very good sir.I need more like this.

@abuhashimabdulaziz4137 6 ай бұрын

Amazing video sir….cleared the concept….

@adityab10 6 ай бұрын

Thanks sir for covering this imp topic concisely...

@gogs7167 5 ай бұрын

Truly very insightful topic sir

@Dr.Anjali 6 ай бұрын

Very informative. Thank you sir...

@dr.jemikshah9621 6 ай бұрын

Keep going sir ❤🙏👍

@user-nz8oi3ud7x 6 ай бұрын

Well explained sir,thank you.

@timothyeria1738 5 ай бұрын

Very informative

@psthankaraj3887 6 ай бұрын

Thank you sir for the good work

@rajans8027 6 ай бұрын

Very well explained.. thank you..

@ansarmaniyar1332 6 ай бұрын

Very Helpful information Thank you sir!!😄

@ahsanqureshi7286 6 ай бұрын

Very useful information Sir.Thank you so much

@TheICUChannel 6 ай бұрын

If you all still have any doubt regarding this concept, do let me know in the comment. Thank you

@sanjoyghosh2183 6 ай бұрын

Sir the onset of action of individual steroids need to discussed.

@AhmadRaza-ye9qg 6 ай бұрын

Why hydrocortisone is frequently used in respiratory conditions like asthma or treatment of wheeze if it has low antiinflammatory activity

@nkcell3507 4 ай бұрын

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?

@Kashif-vp9pd 6 ай бұрын

Wow thank you very much sir

@askaryerken6375 4 ай бұрын

You are making super Topics 👍🏻

@SHEHERYAR91 6 ай бұрын

Excellent explanation 👌

@Indian-lx5si 6 ай бұрын

Thanks sir Keep doing videos Im gd intensivist from hyderabad It is helping me

@Lina-rc9hx 6 ай бұрын

Great info, thank you.

@vasu2742 5 ай бұрын

very good explanation..thank you sir 😊

@toyotalover7107 6 ай бұрын

🫡 salute to you. Very simple, concisely to the point and very comprehensible. Thanks for clearing our concepts.

@bhushanlabhane2604 6 ай бұрын

Very nice video..

@luqmankhan136 5 ай бұрын

Very informative ❤

@alwaysbest6083 Ай бұрын

Very nice explanation sir!!!!

@DrKawishIjaz52 6 ай бұрын

Excellently explained

@allahhuakbar7362 6 ай бұрын

Best. Thank you🎉

@asadmasood6692 6 ай бұрын

Thank you sir. Thank you very much.. very much needed.. love from Pakistan ❤❤

@sumansingh9864 4 ай бұрын

Really helpful..and very precise.. thanks alot......wud really appreciate videos on managing emergencies ,Ike dka,hhs, hyponatremia, substance abuse cases Thanks alot sir..

@arulkumaranp75 6 ай бұрын

Excellent sir

@dramitchadha9656 6 ай бұрын

V nice explanation sir

@DrStrange.r 6 ай бұрын

This was very informative sir! Thank you 🙏

@sujitdk1 6 ай бұрын

Very well explained.

@abudaniyal715 6 ай бұрын

Thanks, got enough knowledge.

@sadiksunasara-wv4dp 6 ай бұрын

Thank you so much sir it's so informative for me

@SaddamHusain-is7yv 4 ай бұрын

Shandar, jabarjast, jindabaad

@dr.subratkamila9819 6 ай бұрын

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.

@afsheenilyas7532 6 ай бұрын

Amazing

@Raghulraj 6 ай бұрын

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....!!

@shubhamsingh-xk4br 6 ай бұрын

Thank you so much sir.

@hemantpatel1118 2 ай бұрын

Superb. Each word is full of information.

@TheICUChannel 2 ай бұрын

Glad you liked it

@pk-be2yu 6 ай бұрын

May Allah bless you sir. You are doing great work for the community.

@drashokkumarmbbs3540 5 ай бұрын

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

@TheICUChannel 5 ай бұрын

Thank u for your kind words and welcome to ESBICM

@jeevaramani96 2 ай бұрын

Nice explanation sir

@TheICUChannel 2 ай бұрын

Thanks and welcome to ESBICM

@user-oj4od1zi9i 6 ай бұрын

Nice video

@tarikulislam4672 6 ай бұрын

Excellent explanation /discussion.

@TheICUChannel 5 ай бұрын

Glad you liked it!

@TheMohit597 6 ай бұрын

Thank u so much sir 😊

@Sweetie01782 5 ай бұрын

Beautiful explanation to the point . I was traveling to my hospital accidentally utube suggested this video. Glad it did 😊 . Thnk u sir .

@TheICUChannel 5 ай бұрын

Wow, thanks a lot and welcome to ESBICM

@Sweetie01782 5 ай бұрын

@@TheICUChannel thnk u 🙏

@durganandyadav3794 6 ай бұрын

Thank you so much sir 🙏

@Chronicles_of_life99 3 ай бұрын

Excellent explanation! Thank you!

@TheICUChannel 3 ай бұрын

Glad you enjoyed it!

@Vikasgoodvibes 5 ай бұрын

Really informative video, Thank you

@TheICUChannel 5 ай бұрын

Glad it was helpful!

@drabaidrehman2833 6 ай бұрын

Very good 👍 👏

@DOCRRRR 6 ай бұрын

Thank you dr ….

@anwarahmed7123 6 ай бұрын

Nice

@amanydubai7880 4 ай бұрын

Thank you for this good and simple explanation

@TheICUChannel 4 ай бұрын

Thanks and welcome to ESBICM

@NehaVishwakarma441 6 ай бұрын

Thank you sir

@ahrar1160 6 ай бұрын

❤Sir a cordiall wellwish from Srinagar ,classic comprehensive work ,I hope this will continue ,may god bless you.Requesting for management of hypertensive emergencies.

@naiduds7208 5 ай бұрын

Great job sir

@TheICUChannel 5 ай бұрын

thanks and welcome to ESBICM

@Mr.medicine99 6 ай бұрын

Nice content❤

@jasminereka3176 6 ай бұрын

In Simple way very much information covered, thnku sir Can upload more topic on different Drugs in using which condition

@MariyamDasan 5 ай бұрын

Thank you. Very useful

@TheICUChannel 5 ай бұрын

Glad it was useful .

@Sumucr7 6 ай бұрын

Sir great respect for you! Wish to be on rounds with you!!

@jackvirusadi 6 ай бұрын

Thank u sir 🙏

@karishmarajpal423 4 ай бұрын

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.

@user-kl1kn9nf6d 5 ай бұрын

Sir Charan sparsh....foolo se shahad nikal kr dene ke liye!!

@laxmipanwar2489 6 ай бұрын

Thanku you sir 🙏

@sourya1763 6 ай бұрын

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 ❤

@vishalprajapati9617 6 ай бұрын

Excellent and brief but very thoughtful explanation…thank you sir

@jahankhan3057 5 ай бұрын

Love and respect from Afghanistan ❤

@TheICUChannel 5 ай бұрын

thanks for your joining and ur support... lots of wishes from India.

@devarsichoudhury6103 6 ай бұрын

Thanku Sir

@moiznauman5121 6 ай бұрын

thank u Sir

@5189malik 5 ай бұрын

Thank you so much sir 🎉🎉

@TheICUChannel 5 ай бұрын

Most welcome

@Dr.KaranModhvadiya 6 ай бұрын

Great explanation

@TheICUChannel 6 ай бұрын

thanks karan. hope you are doing well.

@Dr.KaranModhvadiya 6 ай бұрын

@@TheICUChannel yes sir, I'm doing well ✨

@payalagarwal1299 6 ай бұрын

Thank you sir so much

@TheICUChannel 6 ай бұрын

Most welcome

@Abhisheksingh_102 5 ай бұрын

Thank you 🎉

@TheICUChannel 5 ай бұрын

You’re welcome 😊

@MustafaAhmed-hg7mo 6 ай бұрын

Thanks!

@TheICUChannel 6 ай бұрын

Welcome!

@pratap1131 4 ай бұрын

Thanks buddy

@TheICUChannel 4 ай бұрын

Any time

@hafizbilal4336 6 ай бұрын

Hi , it was very helpful and informative , could you plz specify/comments dosages of these steroids accordingly and taper off ???

@wijedasabadraperera1953 6 ай бұрын

Thanks so much From sri lanka

@TheICUChannel 6 ай бұрын

Thanks and welcome from India 🇮🇳

@hakunamatata1213 6 ай бұрын

Sir kindly make a separate videos regarding widal and typhii dot.. Accuracy, analysis etc... Thanks in advance

@Sumucr7 6 ай бұрын

Sir can you make similar video on different insulin preparations and their right use and maybe devices also

@appleorange3663 6 ай бұрын

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.

@GauravKumar-st1cd 6 ай бұрын

These are very basics. Please get into ICU Fellowship for 1 year you will get all the answers.

@Wanderingsurgeon-si6rk 6 ай бұрын

@@BLUEBIRDclinic there are so many institutes providing fellowships and isccm is also providing ctccm for 2 years

@GauravKumar-st1cd 6 ай бұрын

@@BLUEBIRDclinic Any Corporate Hospital Fellowship. No need of college.

@GauravKumar-st1cd 6 ай бұрын

@@BLUEBIRDclinic MD, DNB(PAEDS), MNAMS itna he kaafi hai.

@GauravKumar-st1cd 6 ай бұрын

@@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.