Sympathetic overstimulation during critical illness: adverse effects of adrenergic stress

MW Dünser, WR Hasibeder - Journal of intensive care …, 2009 - journals.sagepub.com
The term ''adrenergic''originates from ''adrenaline''and describes hormones or drugs whose
effects are similar to those of epinephrine. Adrenergic stress is mediated by stimulation of …

Combination of vitamin C, thiamine and hydrocortisone added to standard treatment in the management of sepsis: results from an open label randomised controlled …

SJ Wani, SA Mufti, RA Jan, SU Shah, SM Qadri… - Infectious …, 2020 - Taylor & Francis
Background: Combination of vitamin C, hydrocortisone and thiamine have recently been
used in sepsis but data of efficacy are conflicting and no data are available from developing …

Diagnosis of adrenal insufficiency in severe sepsis and septic shock

D Annane, V Maxime, F Ibrahim, JC Alvarez… - American journal of …, 2006 - atsjournals.org
Rationale: Diagnosis of adrenal insufficiency in critically ill patients has relied on random or
cosyntropin-stimulated cortisol levels, and has not been corroborated by a more accurate …

Systemic steroids in severe sepsis and septic shock

GP Patel, RA Balk - American journal of respiratory and critical care …, 2012 - atsjournals.org
Despite more than 5 decades of study and debate, the role of corticosteroid treatment in
patients with severe sepsis and septic shock remains controversial. Data support a …

Duration of adrenal inhibition following a single dose of etomidate in critically ill patients

M Vinclair, C Broux, P Faure, J Brun, C Genty… - Intensive care …, 2008 - Springer
Objective To determine the incidence and duration of adrenal inhibition induced by a single
dose of etomidate in critically ill patients. Design Prospective, observational cohort study …

Vitamin C, hydrocortisone, and thiamine for the treatment of severe sepsis and septic shock: a retrospective analysis of real-world application

JJ Litwak, N Cho, HB Nguyen, K Moussavi… - Journal of clinical …, 2019 - mdpi.com
A recent study suggested mortality benefits using vitamin C, hydrocortisone, and thiamine
combination therapy (triple therapy) in addition to standard care in patients with severe …

Anesthetic induction with etomidate, rather than propofol, is associated with increased 30-day mortality and cardiovascular morbidity after noncardiac surgery

R Komatsu, J You, EJ Mascha, DI Sessler… - Anesthesia & …, 2013 - journals.lww.com
BACKGROUND: Because etomidate impairs adrenal function and blunts the cortisol release
associated with surgical stimulus, we hypothesized that patients induced with etomidate …

Resources, stress, and immunity: An ecological perspective on human psychoneuroimmunology

SC Segerstrom - Annals of Behavioral Medicine, 2010 - academic.oup.com
Ecological immunology provides a broad theoretical perspective on phenotypic plasticity in
immunity, that is, changes related to the value of immunity across different situations …

Effects of hydrocortisone on microcirculatory alterations in patients with septic shock

GL Büchele, E Silva, GA Ospina-Tascón… - Critical care …, 2009 - journals.lww.com
Objective: To evaluate the effects of hydrocortisone on microcirculatory blood flow
alterations in patients with septic shock. Design: Prospective, open-label study. Setting: A 31 …

Adrenal insufficiency in critical illness

MS Cooper, PM Stewart - Journal of intensive care medicine, 2007 - journals.sagepub.com
One of the more controversial areas in critical care in recent decades relates to the issue of
adrenal insufficiency and its treatment in critically ill patients. There is no consensus on …