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Critical issues in endocrinology.

Philip A Goldberg1, Silvio E Inzucchi

  • 1Section of Endocrinology, Yale University School of Medicine, TMP 534, 333 Cedar Street, New Haven, CT 06520, USA.

Clinics in Chest Medicine
|January 9, 2004
PubMed
Summary
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This review covers critical endocrine emergencies in the ICU, such as diabetic hyperglycemic states and adrenal insufficiency. It also details related intensive care endocrine issues for better patient management.

Area of Science:

  • Critical Care Medicine
  • Endocrinology

Background:

  • Endocrine emergencies are frequent in intensive care units (ICUs).
  • Prompt recognition and management are vital for patient outcomes.

Purpose of the Study:

  • To review key endocrine emergencies encountered in the ICU.
  • To discuss related endocrine issues relevant to intensive care.

Main Methods:

  • Literature review of endocrine emergencies in critical care.
  • Synthesis of current management strategies for selected conditions.

Main Results:

  • Focus on diabetic hyperglycemic states, adrenal insufficiency, myxedema coma, thyroid storm, and pituitary apoplexy.
  • Detailed discussion of intensive insulin therapy, relative adrenal insufficiency, and thyroid function abnormalities.

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Conclusions:

  • Effective management of endocrine emergencies improves ICU survival.
  • Understanding related endocrine issues optimizes critical care for endocrine patients.