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Adrenal failure in the critically ill.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Duggan, Michele Browne, Ioana Flynn, Catherine |
| Copyright Year | 1998 |
| Abstract | Three critically ill patients suffered multiple organ failure secondary to sepsis. Despite adequate supportive therapy and appropriate antibiotic cover, they failed to improve and required inappropriate inotrope support. They had not been treated with steroids or other drugs known to suppress adrenal function. Adrenal insufficiency was suspected. A random cortisol concentration and a short synacthen test demonstrated concentrations below the range expected in all three cases. High-dose steroid therapy was commenced with marked improvement in the short-term. However, in each case sepsis eventually caused death. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://oup.silverchair-cdn.com/oup/backfile/Content_public/Journal/bja/81/3/10.1093_bja_81.3.468/1/468.pdf?Expires=1491635300&Key-Pair-Id=APKAIUCZBIA4LVPAVW3Q&Signature=MAJcBo~Gk~BlmVaN83iVosxPNWqhmwBK~j~VH27ERfzCQZf75IHeZDAfsTbmoDzjXEeGwDGPDIpOPAyX6VVO5mNZDXee2Ow~YhlLvegq0yA2oFm-ND2EQsFlWBIu9c~JHfDN3-bwk1TXa68Ts~aFQThLlYg8xe~AvdDS85Z5ofFFsLRcjriAvVHt-BvdxfcceSUby3d1i45PIQyxfdhuAv3oij-rTIjpigMCOFQS3xV9viLvbJC-2G278M80mfaLM~pQRBsZeIp--VgpnCz-8UL--hV7kr7SZOnuANtFT81mEfGeXXX7DZqjPhJf3uM-ahe3ooYr4K2LsT7MA2nhSQ__ |
| PubMed reference number | 9861142v1 |
| Volume Number | 81 |
| Issue Number | 3 |
| Journal | British journal of anaesthesia |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Adrenal Glands Adrenal cortical hypofunction Cessation of life Critical Illness Epinephrine Hydrocortisone Liver Failure, Acute Multiple Organ Failure Patients Sepsis Steroid therapy Steroids synacthen |
| Content Type | Text |
| Resource Type | Article |