Anaesthesia | Patient specific populations | Endocrine problems in the critically ill 2

Endocrine problems in the critically ill 2
Session Overview
Description
This session contains a link to the BJA Education article.

The article will open in a new window/tab depending on your browser.

CPD credit can be claimed for the time spent reading the article.

Endocrine problems in the critically ill 2: endocrine emergencies. Kerr, Deborah Elizabeth et al. BJA Education, Volume 17, Issue 11, 377-382

• Most endocrine emergencies are triggered by a secondary insult, which should be sought and managed appropriately
• Clinical features may be non-specific, mimicking other disease processes. Maintain a high index of suspicion
• Derangement of thyroid/adrenal function is common in the critically ill; correction of these derangements in the absence of underlying adrenal or thyroid disease is not required
• Confirmation of diagnosis should not delay treatment in suspected acute adrenal insufficiency
• Vitamin D deficiency is associated with increased all-cause mortality, yet there is no current evidence to support its routine replacement in critical illness