2005•Clinical Intensive CareRequires access

Assessment of adrenocortical function in the critically ill

Jeremy Cohen, Balasubramanian Venkatesh

Abstract

The assessment of adrenocortical function in the critically ill continues to be a source of controversy. In this review we discuss the physiology of glucocorticoids, and the changes seen in critical illness. The reasons for the differences in establishing diagnostic criteria for adrenal insufficiency in the critically ill are also examined.

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Key concepts: Critically ill, Critical illness, Medicine, Intensive care medicine, Adrenal insufficiency, Adrenal function, Adrenocortical Insufficiency, Function (biology)