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Gómez, M., & Pinzón Velásquez, G. (2008). Insuficiencia adrenal en el paciente crítico. Revista Repertorio De Medicina Y Cirugía, 17(1), 12-21. https://doi.org/10.31260/RepertMedCir.v17.n1.2008.489
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La insuficiencia adrenal (ISA) en la unidad de cuidado intensivo es una situación clínica frecuente en el paciente crítico. Se trata de un espectro clínico que es de relevancia diagnóstica, terapéutica y pronóstica, por las consecuencias y potencial amenaza de la vida cuando no se reconoce a tiempo en los pacientes. En la presente revisión se plantean aspectos fisiopatológicos, diagnósticos y terapéuticos de esta entidad. Abreviaturas: ISA, insuficiencia adrenal; GC, glucocorticoides; IAR, insuficiencia adrenal relativa; ACTH, hormona adrenocorticotropica; CRH, hormona corticotropa hipotalámica.
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Derechos de autor Fundación Universitaria de Ciencias de la Salud FUCS
Citas
• Arafah BM. Hypothalamic pituitary adrenal function during critical illness: limitations of current assessment methods. J Clin Endocrinol Metab. 2006 Oct;91(10):3725-45. Epub 2006 Aug 1.
• Bouillon R. Acute Adrenal Insufficiency. Endocrinol Metab Clin North Am. 2006 Dec;35(4):767-75.
• Cooper MS, Stewart PM. Current Concepts: Corticosteroid Insufficiency in Acutely I11 Patients. N Engl J Med 2003;Feb 20; 348(8):727-34.
• De Jong MF, Beishuizen A, Spijkstra JJ, Groeneveld AB. Relative adrenal insufficiency as a predictor of disease severity, mortality, and beneficial effects of corticosteroid treatment in septic shock. Crit Care Med. 2007 Aug;35(8):1896-903.
• Gonzalez H, Nardi O, Annane D. Relative adrenal failure in the ICU: an identifiable problem requiring treatment. Crit Care Clin. 2006 Jan;22(1):105-18.
• Hamrahian A. Adrenal function in critically ill patients: how to test? When to treat? Cleve Clin J Med. 2005 May;72(5):427-32.
• Lukert BP. Editorial: glucocorticoid replacement-- how much is enough? J Clin Endocrinol Metab. 2006 Mar;91(3):793-4.
• Morris J. et al. Adrenal Insufficiency, Hear tRate Variability, and Complex Biologic Systems: A Study of 1,871 Critically III Trauma Patients. J Am Coll Surg Vol.204, No.5, May 2007: 885-892.
• Raghavan M, Marik PE. Stress hyperglycemia and adrenal insufficiency in the critically ill. Semin Respir Crit Care Med. 2006 Jun;27(3):274-85.
• Salvatori R. Adrenal insufficiency. JAMA. 2005 Nov 16;294(19):2481-8.
• Shenker Y, Skatrud JB. Adrenal insufficiency in critically ill patients. Am J Respir Crit Care Med. 2001 Jun;163(7):1520-3.
• Stewart PM, Quinkler MO. Mineralocorticoid de.ciency. In: Degroot LJ, Jameson JL, editors. Endocrinology. Philadelphia: WB Saunders; 2005. p. 2491-9.
• Torrey SP. Recognition and management of adrenal emergencies. Emerg Med Clin North Am. 2005 Aug;23(3):687-702.
• Bouillon R. Acute Adrenal Insufficiency. Endocrinol Metab Clin North Am. 2006 Dec;35(4):767-75.
• Cooper MS, Stewart PM. Current Concepts: Corticosteroid Insufficiency in Acutely I11 Patients. N Engl J Med 2003;Feb 20; 348(8):727-34.
• De Jong MF, Beishuizen A, Spijkstra JJ, Groeneveld AB. Relative adrenal insufficiency as a predictor of disease severity, mortality, and beneficial effects of corticosteroid treatment in septic shock. Crit Care Med. 2007 Aug;35(8):1896-903.
• Gonzalez H, Nardi O, Annane D. Relative adrenal failure in the ICU: an identifiable problem requiring treatment. Crit Care Clin. 2006 Jan;22(1):105-18.
• Hamrahian A. Adrenal function in critically ill patients: how to test? When to treat? Cleve Clin J Med. 2005 May;72(5):427-32.
• Lukert BP. Editorial: glucocorticoid replacement-- how much is enough? J Clin Endocrinol Metab. 2006 Mar;91(3):793-4.
• Morris J. et al. Adrenal Insufficiency, Hear tRate Variability, and Complex Biologic Systems: A Study of 1,871 Critically III Trauma Patients. J Am Coll Surg Vol.204, No.5, May 2007: 885-892.
• Raghavan M, Marik PE. Stress hyperglycemia and adrenal insufficiency in the critically ill. Semin Respir Crit Care Med. 2006 Jun;27(3):274-85.
• Salvatori R. Adrenal insufficiency. JAMA. 2005 Nov 16;294(19):2481-8.
• Shenker Y, Skatrud JB. Adrenal insufficiency in critically ill patients. Am J Respir Crit Care Med. 2001 Jun;163(7):1520-3.
• Stewart PM, Quinkler MO. Mineralocorticoid de.ciency. In: Degroot LJ, Jameson JL, editors. Endocrinology. Philadelphia: WB Saunders; 2005. p. 2491-9.
• Torrey SP. Recognition and management of adrenal emergencies. Emerg Med Clin North Am. 2005 Aug;23(3):687-702.
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