Hormones in the critically ill patient: to intervene or not to intervene?
review · Level V
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- Record sourced from PubMed, PMID 11685296.
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Abstract
Critically ill patients show a variety of hormonal changes that appear to differ considerably in acute and prolonged critical illness. Whether these endocrine alterations serve as physiological adaptation or contribute to further deterioration remains an intriguing question. We review the recent literature and discuss whether measuring circulating hormone concentrations, performing stimulation tests, and intervening with hormone substitution could contribute to the recovery of critically ill patients.
Medical subject headings
- Acute Disease
- Catecholamines
- Critical Care
- Critical Illness
- Growth Hormone
- Hydrocortisone
- Patient Selection
- Thyroid Hormones