ICU · Endocrine & metabolic emergencies

Endocrine & Metabolic Derangements of Critical Illness

Also known as Metabolic response to critical illness · Stress hyperglycaemia · Sick euthyroid syndrome · Low T3 syndrome · Critical illness-related corticosteroid insufficiency · CIRCI · Anabolic failure · ICU-acquired weakness

endocrine metabolic response to the critical the illness — the the biphasic (acute adaptive stress response → chronic maladaptive persistent). The acute: the counter-regulatory the hormones (the cortisol, the catecholamines, the glucagon, the GH), the insulin the resistance (the stress the hyperglycaemia), the hypercatabolism. The chronic: the suppressed the axes (the sick the euthyroid / the low-T3, the hypogonadism, the CIRCI), the anabolic the failure, the muscle the wasting. moderate glycaemic control (the NICE-SUGAR); the hydrocortisone for refractory septic shock; sick euthyroid no replacement. rarer ICU endocrinopathies — the insulinoma (the spontaneous the hypoglycaemia), the VIPoma (the secretory the diarrhoea, the hypokalaemia), the carcinoid / the carcinoid the crisis, the calcitonin in the thyroid the C-cell (the medullary the carcinoma). The hyperglycaemic the emergencies (the DKA / the HHS) the summarised — the detail in the sibling.