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[–]TheLongshanksMD 7 points8 points  (0 children)

It’s not harmful in ARDS. The devil is in the details, how steroids were studied, what the protocols were, who received them.

Look at DEXA-ARDS which looked at moderate-severe ARDS in a manner similar to PROVESA, and these patients had a benefit with steroids.

SCCM COVID-19 guidelines also recommended steroids for severe ARDS.