Guidelines for the diagnosis and management of critical illness-related corticosteroid insufciency (CIRCI) in critically ill patients (Part II): Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) 2017
Intensive care med; 29 (1), 2018
Publication year: 2018
Tis part II of the guidelines for the diagnosis and management of critical illness-related corticosteroid insufciency (CIRCI) in critically ill patients is related to acute illnesses that may be complicated by CIRCI. We followed
strictly the same methodology as for part I (see Appendix 1 in Supplementary material), which summarized
the guidelines related to CIRCI and sepsis/septic shock, acute respiratory distress syndrome (ARDS), and major
trauma. PICOM questions were developed a priori for community-acquired pneumonia, infuenza, meningitis,
and non-septic systemic infammatory response syndrome (SIRS) that may be associated with shock, namely
burns, cardiac arrest and cardiopulmonary bypass surgery. For all these conditions, we formulated statements
for or against the use of exogenous corticosteroids. Recommendations and their strength required the agreement of at least 80% of the task force members. During the editorial process, discussions about the burn condition resulted in the compromise of this question being left out and reconsidered in the next update of these
guidelines.