Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525

Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
  English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve Pubget Overpricing |   
lüll Adrenal insufficiency in the critically ill: a new look at an old problem Marik PE; Zaloga GPChest 2002[Nov]; 122 (5): 1784-96Stress from many sources, including pain, fever, and hypotension, activates the hypothalamic-pituitary-adrenal (HPA) axis with the sustained secretion of corticotropin and cortisol. Increased glucocorticoid action is an essential component of the stress response, and even minor degrees of adrenal insufficiency can be fatal in the stressed host. HPA dysfunction is a common and underdiagnosed disorder in the critically ill. We review the risk factors, pathophysiology, diagnostic approach, and management of HPA dysfunction in the critically ill.|*Critical Illness[MESH]|Acute Disease[MESH]|Adrenal Gland Diseases/*complications/etiology/physiopathology/therapy[MESH]|Cytokines/physiology[MESH]|Glucocorticoids/physiology[MESH]|Humans[MESH]|Hydrocortisone/metabolism[MESH]|Hypothalamic Diseases/*complications/diagnosis/etiology/physiopathology/therapy[MESH]|Hypothalamo-Hypophyseal System/physiology[MESH]|Pituitary-Adrenal System/physiology[MESH]|Prognosis[MESH]|Sepsis/complications[MESH]|Stress, Physiological/immunology[MESH] |