Assessment of knowledge, attitudes and practices about adrenal insufficiency in the critically ill among endocrinologists and intensivists practicing in Chennai

Sathya, A.; Srinivasan, B.; Parasuraman, G.; Ravikumar, L.; Mahadevan, S.; Sriram, U.; Gopichandran, V.
July 2006
Indian Journal of Critical Care Medicine;Jul-Sep2006, Vol. 10 Issue 3, p176
Academic Journal
Background: Adrenal insufficiency is a common occurrence in the critically ill and it is essential that intensivists and endocrinologists involved in the care of these patients have a good understanding of the concepts related to this condition. Objectives: To assess the knowledge, attitudes and practices about adrenal insufficiency in the critically ill among the endocrinologists and intensivists practicing in the city of Chennai. Materials and Methods: Questionnaires containing ten questions pertaining to adrenal insufficiency in the critically ill were sent to a total of six endocrinologists and 52 intensivists practicing in Chennai. Results: About 77% of all the respondents agreed to the fact that adrenal insufficiency is a frequent occurrence in critical illness. But 57% of them felt that there is no need for routine evaluation of critically ill patients for adrenal insufficiency. Random serum cortisol was selected by 62% of the responders as the method for evaluating adrenal function in the critically ill. There is clearly no agreement among the endocrinologists or the intensivists on the various cut off levels for diagnosis. Neither is there a clear consensus on the method followed for treatment of patients with adrenal insufficiency in the critical care unit. Conclusion: There is no concordance in the knowledge, attitudes or practices on adrenal insufficiency in the critically ill among the endocrinologists and intensivists in Chennai. There is a need for developing standard diagnostic and treatment guidelines and making it available for all the practicing endocrinologists and intensivists.


Related Articles

  • A Single-Center Review of Prescribing Trends and Outcomes of Corticosteroid Replacement Therapy in Critically Ill Children with Septic Shock. Benken, Scott T.; Hutson, Tamara K.; Gardiner, Rhonda L.; Wheeler, Derek S. // Open Critical Care Medicine Journal;2010, Vol. 3, p51 

    Recently published consensus treatment guidelines for pediatric sepsis recommend initiating corticosteroid replacement therapy (CRT) for those critically ill children with adrenal insufficiency and refractory shock. The data to support this recommendation is limited, and multiple studies have...

  • Defining and focusing perioperative steroid supplementation. Henriques III, Horace F.; Lebovic, Daniel // American Surgeon;Sep1995, Vol. 61 Issue 9, p809 

    Focuses on the prescription glucocorticoids and steroids to avoid the potential consequences of adrenal insufficiency. Medical costs of giving steroid supplements; Need for a clear delineation of adrenal insufficiency to gain a more accurate perspective on the benefits of stressor glucocorticoid...

  • Bilateral extra-adrenal perirenal myelolipomas: CT features. Temizoz, O.; Genchellac, H.; Demir, M. K.; Unlu, E.; �zdemir, H. // British Journal of Radiology;Oct2010, Vol. 83 Issue 994, pe198 

    Myelolipomas are rare benign tumours composed of adipose tissue and haematopoietic cells that are typically found in adrenal glands but have also appeared in extra-adrenal sites. Distinguishing between extra-adrenal myelolipomas and malignant tumours, such as liposarcomas, is crucial to avoid an...

  • When the adrenal glands go haywire. Schweiger, Alice Burdick // Good Housekeeping;May94, Vol. 218 Issue 5, p235 

    Discusses the four adrenal-gland diseases. Addison's disease; Cushing's syndrome; Congenital Adrenal Hyperplasia; Late-onset Congenital Adrenal Hyperplasia.

  • Gonadotrophin deficiency and adrenocortical insufficiency in children: a new syndrome. Kelly, W.F.; Joplin, G.F.; Pearson, G.W. // British Medical Journal;7/9/1977, Vol. 2 Issue 6079, p98 

    Examines the case of a man who had developed adrenal insufficiency one week after birth in Great Britain. Complications of adrenocortical insufficiency during adolescent; Speculation on the association between gonadotrophin deficiency and adrenocortical insufficiency; Symptoms on the syndrome...

  • Adrenal disorders: Know when to act and what tests to give. Ackermann, Richard J. // Geriatrics;Jul94, Vol. 49 Issue 7, p32 

    Discusses the evaluation of adrenal problems common among older patients. Synthesis of steroids and other hormones in the adrenal gland; Adrenal masses; Cushing's syndrome; Adrenal insufficiency; Treatment.

  • Adding up clues when an 11-year-old has nonspecific symptoms. Lytrivi, Irene D.; Kefalas, Nikolaos D.; Teitelbaum, Jonathan E.; Tunnessen Jr., Walter W. // Contemporary Pediatrics;Jul2001, Vol. 18 Issue 7, p25 

    Provides information on Addison disease, a disease of the adrenal glands . Diagnosis; Causes; Treatment.

  • Acetyl salicylic acid treatment in neonatal Bartter syndrome-a commentary letter. K�mhoff, Martin // Pediatric Nephrology;Aug2011, Vol. 26 Issue 8, p1341 

    In this article the author discusses the use of acetyl salicylic acid in the treatment of neonatal Bartter syndrome. Topics include an overview of the genetic aspects of antenatal Bartter syndrome, which is an autosomal recessive disorder that affects the urinary system, the physiological...

  • The Intestinal Response to Critical Illness. Thompson, Jon S. // American Journal of Gastroenterology;Feb1995, Vol. 90 Issue 2, p190 

    Critical illness is characterized by the presence of several factors that can cause marked alterations in the structure and function of multiple organ systems (1-2). These factors include injury, ischemia, sepsis, and starvation (Fig. 1). It is common for more than one of these problems to be...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics