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Published on: May 2, 2017
[Endocrine regulation in critically ill patients]
1Interdisziplinäres Notfallzentrum mit Rettungsstelle, Helios-Klinikum Berlin-Buch. christian.wrede@helios-kliniken.de
Abstract:
Disturbances of the hormonal regulation of critically ill patients are known since many years. In the last years, two topics received a lot of attention since a single intervention led to a mortality benefit: the intensive blood glucose control in surgical intensive care patients and the low dose hydrocortisone therapy in sepsis. These results were quickly incorporated in guidelines. However, large multi-center studies failed to support the initial results in several points. This review discusses these and other disturbances of endocrine regulation of critically ill patients.
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