Relative Adrenal Insufficiency in Pediatric Septic Shock

David Vila-Pérez; Iolanda Jordan-García

doi:10.1055/s-0035-1559821

Journal of Pediatric Intensive Care, Inhaltsverzeichnis

J Pediatr Intensive Care 2015; 04(03): 129-137
DOI: 10.1055/s-0035-1559821

Review Article

Georg Thieme Verlag KG Stuttgart · New York

Relative Adrenal Insufficiency in Pediatric Septic Shock

Autor*innen

David Vila-Pérez

¹Pediatric Intensive Care Unit, Barcelona University, Hospital Sant Joan de Déu, Barcelona, Spain
Iolanda Jordan-García

¹Pediatric Intensive Care Unit, Barcelona University, Hospital Sant Joan de Déu, Barcelona, Spain

Abstract

Sepsis and septic shock represent important causes of morbidity and mortality in children, and adrenal dysfunction may play a role in the cardiovascular and immunological response. According to existing reports, the incidence of adrenal dysfunction in critically ill children varies significantly between 4 and 52% of patients. This article reviews the concept of adrenal insufficiency and the role it may play in a pediatric septic shock. Also discussed are the diagnosis, prognosis, and treatment of adrenal insufficiency in septic shock in adults and children. Finally, the latest recommendations about steroid use in pediatric septic shock are summarized.

Keywords

sepsis - septic shock - pediatric septic shock - adrenal insufficiency - relative adrenal insufficiency

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Referenzen

References
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