Relative adrenal insufficiency. Export

@article{citeulike:5884509, abstract = {PURPOSE OF REVIEW: This article will review the clinical presentation, diagnosis, and treatment of acute adrenal insufficiency and explore the concept of 'relative adrenal insufficiency' in the critically ill. RECENT FINDINGS: Current dogma suggests that as many as 70\% of patients in intensive care units with the clinical syndromes of sepsis or cardiogenic shock have 'relative adrenal insufficiency'. This article will explore how this concept came into being and why the concept has no clinical utility. SUMMARY: This article will provide an approach to critically ill patients that will identify adrenal insufficiency when it is part of the pathophysiology of a given patient and, at the same time, prevent the unnecessary treatment of critically ill patients with high doses of glucocorticoids for 'stress' when adrenal insufficiency is not a factor in the illness.}, author = {Loriaux, Donald L. and Fleseriu, Maria}, citeulike-article-id = {5884509}, citeulike-linkout-0 = {http://dx.doi.org/10.1097/MED.0b013e3283307d53}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/19654538}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=19654538}, doi = {10.1097/MED.0b013e3283307d53}, issn = {1752-2978}, journal = {Current opinion in endocrinology, diabetes, and obesity}, keywords = {adrenal, icu, steroid}, month = {October}, number = {5}, pages = {392--400}, posted-at = {2009-10-04 04:29:13}, priority = {2}, title = {Relative adrenal insufficiency.}, url = {http://dx.doi.org/10.1097/MED.0b013e3283307d53}, volume = {16}, year = {2009} }

TY - JOUR ID - citeulike:5884509 L3 - citeulike-article-id:5884509 N2 - PURPOSE OF REVIEW: This article will review the clinical presentation, diagnosis, and treatment of acute adrenal insufficiency and explore the concept of 'relative adrenal insufficiency' in the critically ill. RECENT FINDINGS: Current dogma suggests that as many as 70% of patients in intensive care units with the clinical syndromes of sepsis or cardiogenic shock have 'relative adrenal insufficiency'. This article will explore how this concept came into being and why the concept has no clinical utility. SUMMARY: This article will provide an approach to critically ill patients that will identify adrenal insufficiency when it is part of the pathophysiology of a given patient and, at the same time, prevent the unnecessary treatment of critically ill patients with high doses of glucocorticoids for 'stress' when adrenal insufficiency is not a factor in the illness. IS - 5 JF - Current opinion in endocrinology, diabetes, and obesity SN - 1752-2978 EP - 400 TI - Relative adrenal insufficiency. VL - 16 SP - 392 KW - adrenal KW - icu KW - steroid AU - Loriaux, Donald AU - Fleseriu, Maria PY - 2009/10// UR - http://dx.doi.org/10.1097/MED.0b013e3283307d53 ER -