Letter

Steroids and extubation

Steroid use is complex in intensive care

BMJ 2008; 337 doi: 10.1136/bmj.a2682 (Published 25 November 2008)
Cite this as: BMJ 2008;337:a2682

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  1. Amit Patel, NIHR academic clinical fellow1
  1. 1Imperial College London, Hammersmith Hospital, London W12 0NN
  1. amit.patel{at}imperial.ac.uk

    The six trials in the meta-analysis of prophylactic parenteral steroid use to prevent laryngeal oedema after extubation, and subsequent reintubation, use different agents and non-equivalent doses.1 Biological half lives vary considerably, hydrocortisone being shortest acting, …

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