In this randomized trial of patients with COPD receiving ventilatory support in the ICU, those randomized to steroids (methylprednisolone versus placebo) had fewer days of ventilation, shorter ICU LOS, and were less likely to fail non-invasive ventilation. Not surprisingly, but now definitively proven, steroids are beneficial for COPD patients in the ICU receiving ventilatory support (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.