Adrenal function in critically ill patients: How to test? When to treat?
Amir Hamrahian, MD
Department of Endocrinology, Diabetes, and Metabolism, The Cleveland Clinic Foundation
Address: Amir H. Hamrahian, MD, Department of Endocrinology, Diabetes, and Metabolism, A53, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195; e-mail firstname.lastname@example.org
Medical Grand Rounds articles are based on edited transcripts from Division of Medicine Grand Rounds presentations at The Cleveland Clinic Foundation. They are approved by the author but are not peer-reviewed.
ABSTRACTAlthough the true incidence of adrenal insufficiency in critically ill patients is unknown, there is evidence that even partial adrenal insufficiency in such patients is associated with increased mortality. But exactly how should adrenal insufficiency be defined and diagnosed, and who should receive treatment?