Adrenal insufficiency during septic shock.

@article{Marik2003AdrenalID,
  title={Adrenal insufficiency during septic shock.},
  author={Paul Ellis Marik and Gary P. Zaloga},
  journal={Critical care medicine},
  year={2003},
  volume={31 1},
  pages={141-5}
}
OBJECTIVE To determine whether a baseline (random) cortisol concentration <25 microg/dL in patients with septic shock was a better discriminator of adrenal insufficiency than the standard (250 microg) and the low-dose (1 microg) corticotropin stimulation tests as assessed by the hemodynamic response to steroid replacement. SETTING Intensive care unit. PATIENTS Fifty-nine patients with septic shock. Their mean age was 57 +/- 16.7 yrs; 29 were male. INTERVENTIONS A baseline cortisol… CONTINUE READING
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