Document Detail


Hemodynamic instability secondary to adrenal insufficiency in a major burn patient.
MedLine Citation:
PMID:  11996861     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 39-year-old man presented with 80% body surface area burned following a thermal accident. The patient showed hemodynamic instability and low response to intravenous fluids or vasopressors for 20 days in the intensive care unit (ICU). The adrenocorticotropic hormone (ACTH) test was consistent with adrenal insufficiency. After a 3-day steroid treatment, the patient's blood pressure was normal without the administration of any vasopressor.
Authors:
Flávio E Nácul; Allex Jardim; Flávio MacCord; Carmen Penido; Marcelo V Gomes
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  28     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-05-08     Completed Date:  2002-08-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  England    
Other Details:
Languages:  eng     Pagination:  270-2     Citation Subset:  IM    
Affiliation:
Clínica São Vicente, Intensive Care Unit, RJ, Rio de Janeiro, Brazil. fnacul@svgavea.com.br
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Function Tests
Adrenal Insufficiency / etiology*
Adrenocorticotropic Hormone / therapeutic use*
Adult
Burns / complications*,  therapy
Fluid Therapy
Hemodynamics / drug effects*
Humans
Hydrocortisone / therapeutic use*
Male
Time Factors
Vasoconstrictor Agents / therapeutic use
Wound Healing
Chemical
Reg. No./Substance:
0/Vasoconstrictor Agents; 50-23-7/Hydrocortisone; 9002-60-2/Adrenocorticotropic Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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