Pro-con debate: steroid use in ACTH non-responsive septic shock patients with high baseline cortisol levels.

Critical Care : the Official Journal of the Critical Care Forum
Djillali AnnaneMargaret S Herridge

Abstract

Steroid use in critically ill, vasopressor-dependant, septic patients has gained increased acceptance in recent years with the publication of encouraging data. However, with renewed interest and/or attention comes increased debate and analysis. As a result, it is not surprising to find that there is still significant controversy with regards to the role of steroids in many patients. In this article, two expert groups debate the role of steroid use in a septic shock patient with arguably no clear evidence of adrenal insufficiency.

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Citations

Apr 5, 2008·Current Opinion in Critical Care·Juan M Canabal, David J Kramer
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Addison Disease

Addison's disease, also known as primary adrenal insufficiency and hypocortisolism, is a long-term endocrine disorder in which the adrenal glands do not produce enough steroid hormones. Discover the latest research on Addison's disease here.

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