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Infection based on results of gram staining significantly reduced the incidences

of VAP and ARDS without an increase in the use of antibiotics.

Corticosteroids in the prevention and treatment of acute respiratory distress

syndrome (ARDS) in adults: meta-analysis.

BMJ. 2008 May 3;336(7651):1006-9. Epub 2008 Apr 23.

A definitive role of

corticosteroids in the treatment of ARDS in adults is not established. A

possibility of reduced mortality and increased ventilator free days with steroids

started after the onset of ARDS was suggested. Preventive steroids possibly

Increase the incidence of ards in critically ill adults.

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