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Fecal Glucocorticoid Analysis: Non-invasive Adrenal Monitoring in Equids
Published on: April 25, 2016
Pro-con debate: steroid use in ACTH non-responsive septic shock patients with high baseline cortisol levels
Djillali Annane1, Eddy Fan, Margaret S Herridge
1Service de Réanimation, Hôpital Raymond Poincaré (AP-HP), Université de Versailles SQ, Garches, France. djillali.annane@npc.aphp.fr
Abstract:
Steroid use in critically ill, vasopressor-dependant, septic patients has gained increased acceptance in recent years with the publication of encouraging data. However, with renewed interest and/or attention comes increased debate and analysis. As a result, it is not surprising to find that there is still significant controversy with regards to the role of steroids in many patients. In this article, two expert groups debate the role of steroid use in a septic shock patient with arguably no clear evidence of adrenal insufficiency.
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