Evaluation Of The Efficacy Of Corticosteroids In Patients With An Acute Exacerbation Of Chronic Obstructive Pulmonary Disease Receiving Ventilator Support

Exclusion Criteria

• •1. Primary diagnosis of asthma exacerbation.
• •2. History of asthma or atopy.
• •3. Use of systemic corticosteroids within the preceding month.
• •4. Use of systemic corticosteroids for the treatment of COPD exacerbation at the time of ICU admission for more than 24 hours.
• •5. Clinical or radiological evidence of pneumonia.
• •6. Uncontrolled left-ventricular failure (patients with evidence of severe heart failure requiring inotropes or vasoactive drugs).
• •7. Uncontrolled hypertension arterial (systolic pressure \> 180 mm Hg or diastolic pressure \> 90 mm Hg despite antihypertensive therapy).
• •8. Uncontrolled diabetes mellitus.
• •9. Presence of a neuromuscular disease.
• •10. History of allergy and or adverse reaction to corticosteroids.