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Adrenal Insufficiency

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Abstract

A functioning adrenal axis is a prerequisite for survival in critical illness. In this chapter we describe basic adrenal physiology, and the presentation and treatment of adrenal crisis. Additionally we discuss some more controversial aspects of adrenal function in critical illness: the concept of “critical illness-related corticosteroid insufficiency”, and the role of plasma cortisol measurements and the short Synacthen test in intensive care, as well as the place of hydrocortisone treatment in septic shock.

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Authors and Affiliations

  1. Intensive Care, Wesley Hospital, Brisbane, QLD, Australia

    Bala Venkatesh MBBS,MD(Int.Med),FRCA,FFARCSI (Director,Pre-eminent specialist, Honorary Professor)

  2. Princess Alexandra Hospital Professor of Intensive Care, University of Quensland, Brisbane, QLD, Australia

    Bala Venkatesh MBBS,MD(Int.Med),FRCA,FFARCSI (Director,Pre-eminent specialist, Honorary Professor)

  3. University of Sydney, Sydney, Australia

    Bala Venkatesh MBBS,MD(Int.Med),FRCA,FFARCSI (Director,Pre-eminent specialist, Honorary Professor)

  4. Burns, Trauma and Critical Care Research Centre, University of Queensland, Senior Staff Specialist in Intensive Care, Royal Brisbane Hospital, Brisbane, QLD, Australia

    Jeremy Cohen MBBS,MD(Int.Med),FRCA,FFARCSI (Associate Professor)

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  1. Bala Venkatesh MBBS,MD(Int.Med),FRCA,FFARCSI
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Correspondence to Bala Venkatesh MBBS,MD(Int.Med),FRCA,FFARCSI .

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Editors and Affiliations

  1. Department of Surgical Critical Care; Lahey Hospital and Medical Center, Division of Surgery, Burlington, Massachusetts, USA

    John M. O'Donnell

  2. Surgical Critical Care Medicine, Pr�-Card�o Hospital, Critical Care Medicine, University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

    Flávio E. Nácul

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Venkatesh, B., Cohen, J. (2016). Adrenal Insufficiency. In: O'Donnell, J., Nácul, F. (eds) Surgical Intensive Care Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-19668-8_37

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