International Scholarly Research Notices / 2012 / Article / Tab 2

Review Article

Applications of Steroid in Clinical Practice: A Review

Table 2


<10 mg/day
(prednisolone)
Assume normal HPA responseAdditional steroid cover not required
>10 mg/dayMinor surgery25 mg hydrocortisone at induction
Patient currently taking steroidsModerate surgeryUsual perioperative steroid + 25 hydrocortisone at induction + 100 mg/day for 24 hrs
Major surgeryUsual perioperative steroid + 25 hydrocortisone at induction + 100 mg/day for 48–72 hrs
High dose immunosuppressiveGive usual immunosuppressive dose during perioperative period

Patient stopped taking steroid<3 monthsTreat as if on steroids
>3 monthsNo perioperative steroid necessary

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