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Steroids are perhaps one of the most widely used group of drugs in present day anaesthetic practice, sometimes with indication and sometimes without indications. Because of their diverse effects on various system of the body, there has been renewed interest in the use of steroids in modern day anaesthetic practice. This brief review focuses on the synthesis and functions of steroids and risks associated with their supplementation.This review also highlights the recent trends, relevance and consensus issues on the use of steroids as adjunct pharmacological agents in relation to anaesthetic practice and intensive care, along with emphasis on important clinical aspects of perioperative usefulness and supplementation.

Keywords

Steroids, Perioperative steroid replacement, PONV, ESI(epidural steroid injection). Analgesic adjuncts, Anaphylaxis, Sepsis, Septic shock. Post intubation laryngeal odema. Post extubation stridor, Adverse effects. Cerebral odema. Cardiac arrest
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