SCCM Resource Library-Adrenal Crisis and Excess

Video Transcription

Video Summary

The presenter discusses adrenal crisis, focusing on managing excess and insufficiency of adrenal hormones. Adrenal crisis involves inadequate cortisol during stress, often due to adrenal insufficiency. While diagnosing adrenal insufficiency is complex, cortisol tests are non-definitive in critical illness due to various factors affecting accuracy. They highlight controversies in adrenal steroid doses and recommend doubling stress steroids for patients in crisis. Additionally, adrenal excess, such as pheochromocytoma (pheo), is characterized by refractory hypertension and requires optimized blood pressure management before surgical intervention. Treatment includes maximizing alpha blockade and using other antihypertensives.

Asset Caption

One-Hour Concurrent Session | Endocrine Emergencies: When Zebras Are Real

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

adrenal crisis

cortisol insufficiency

pheochromocytoma

stress steroids

hypertension management

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