Pro-Con Debate: Steroid use in ACTH non-responsive septic shock patients with high baseline cortisol levels

doi:10.1186/cc4856

Critical Care
Volume 10
Issue 2

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Pro-Con Debate: Steroid use in ACTH non-responsive septic shock patients with high baseline cortisol levels

Djillali Annane¹ , Eddy Fan² and Margaret S Herridge²^,3

¹Service de Réanimation, Hôpital Raymond Poincaré (AP-HP), Université de Versailles SQ, Garches, France

²Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada

³Department of Medicine, University of Toronto, Toronto, Canada

author email corresponding author email

Critical Care 2006, 10:210doi:10.1186/cc4856


Published:	5 April 2006

Abstract

Steroid use in critically ill, vasopressor-dependant, septic patients has gained increased acceptance in recent years with the publication of encouraging data. However, with renewed interest and/or attention comes increased debate and analysis. As a result, it is not surprising to find that there is still significant controversy with regards to the role of steroids in many patients. In this article, two expert groups debate the role of steroid use in a septic shock patient with arguably no clear evidence of adrenal insufficiency.