Normal adrenocortical function on initial testing in the intensive care unit: not a long-term warranty.

Abstract:

:There has been a lot of debate about the concept of relative adrenocortical insufficiency (often defined as a reduced response to corticotropin) as a pathophysiological explanation of steroid effects in septic shock. Less is known about the prevalence of absolute adrenocortical insufficiency based on more usual definitions (low baseline and corticotropin stimulated cortisol). A study by Wu and colleagues provides convincing evidence that critically ill patients could evolve from a normal adrenal status towards very low cortisol levels within a few days. Although the exact consequences of these findings deserve more investigation, adrenal testing should not be omitted in patients not improving their hemodynamic status.

journal_name

Crit Care

authors

Bollaert PE

doi

10.1186/cc6926

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

163

issue

4

eissn

1364-8535

issn

1466-609X

pii

cc6926

journal_volume

12

pub_type

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