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Letters
April 2, 2003

Paresis Following Mechanical VentilationParesis Following Mechanical Ventilation

Author Affiliations
 

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(13):1633-1635. doi:10.1001/jama.289.13.1633-a

To the Editor: Dr De Jonghe and colleagues1 concluded that "there was an important role of corticosteroids in the development of ICUAP" and recommended that corticosteroid administration be limited to patients who have indications based on evidence-based indications. Although we agree that corticosteroids, like any other intervention, should be limited to patients who have a proven benefit, it is difficult to find a causal relationship between paresis and corticosteroid use in their study. The control and case patients received corticosteroids for a similar number of days, and the control group actually received a higher total dose of corticosteroids.

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