I think you should continue the steroid regardless cortisol levels provided the 
patient meets the criteria for vasopressor-dependent septic shock , this was 
established by Dr. Marik in Sirsi work published in CHEST 2009
      Manuel Martínez MD intensive care
                                         Mexico. 
Enviado desde mi iPhone

El 21/09/2012, a las 10:48, "Mohamed Ibrahim" <[email protected]> escribió:

> Hello everyone,                                 pls clarify me on this aspect 
>                                 im confused whether to start on a low dose 
> corticosteroid for severe sepsis / septic shock even if the measured sr 
> cortisol levels are  found to be WNL .                              so  
> irrespective of cortisol levels can we continue the steroids ???              
>    Dr S Mohamed Ibrahim MD,FAAEM Apollo Speciality Hospital            
> Madurai - TN - India
> 
> 
> Sent from my iPhone
> _______________________________________________
> Sepsisgroups mailing list
> [email protected]
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
_______________________________________________
Sepsisgroups mailing list
[email protected]
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

Reply via email to