Adrenal Dysfunction in Severe Community-Acquired Pneumonia Requiring VenoVenous Extracorporeal Membrane Oxygenation
N. E. Altshuler,
N. M. Kruglyakov,
G. I. Bagzhanov,
A. A. Dokukin,
K. K. Gubarev,
M. B. Kutsyi,
K. A. Popugaev https://doi.org/10.23934/2223-9022-2024-13-1-150-155
Abstract
The article presents a clinical case of adrenal dysfunction in a patient with severe communityacquired pneumonia requiring extracorporeal membrane oxygenation. We discuss the lack of diagnostic criteria for adrenal dysfunction in critical conditions; the tactics of hydrocortisone treatment: initiation of use, its duration, dose titration and withdrawal conditions.
About the Authors
N. E. Altshuler
A.I. Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Natavan E. Altshuler - Candidate of Medical Sciences, Assistant of the Department of Anesthesiology, Reanimatology and Intensive Care, Medical and Biological University of Innovation and Continuing Education, A.I. Burnasyan FMBC.
23, Marshala Novikova Str., Moscow 123098
N. M. Kruglyakov
A.I. Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Nikolay M. Kruglyakov - AnesthesiologistResuscitator, Head of the Department of Resuscitation and Intensive Care.
23, Marshala Novikova Str., Moscow 123098
G. I. Bagzhanov
A.I. Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
German I. Bagzhanov - Assistant of the Department of Anesthesiology, Reanimatology and Intensive Care, Medical and Biological University of Innovation and Continuing Education.
23, Marshala Novikova Str., Moscow 123098
A. A. Dokukin
European Medical Center
Russian Federation
Russian Federation
Aleksey A. Dokukin - AnesthesiologistResuscitator, European Medical Center.
3, Shepkina Str., Moscow 129090
K. K. Gubarev
A.I. Burnasyan Federal Medical Biophysical Center
Russian Federation
Russian Federation
Konstantin K. Gubarev - Candidate of Medical Sciences, Head of the ECMO Center; Head of the Surgical Department for Coordination of Organ and (or) Human Tissue Donation, A.I. Burnasyan FMBC.
23, Marshala Novikova Str., Moscow 123098
M. B. Kutsyi
European Medical Center
Russian Federation
Russian Federation
Mikhail B. Kutsyi - Candidate of Medical Sciences, Head of the Surgical Center, European Medical Center.
3, Shepkina Str., Moscow 129090
K. A. Popugaev
A.I. Burnasyan Federal Medical Biophysical Center; N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Konstantin A. Popugaev - Doctor of Medical Sciences, Professor of the Russian Academy of Sciences, Deputy DirectorHead of the Regional Vascular Center of the N.V. Sklifosovsky RI for Emergency Medicine; Head of the Department of Anesthesiology, Reanimatology and Intensive Care, Medical and BU of Innovation and Continuing Education, A.I. Burnasyan FMBC.
23, Marshala Novikova Str., Moscow 123098; 3, Bolshaya Sukharevskaya Sq., Moscow 129090
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Review
For citations:
Altshuler N.E., Kruglyakov N.M., Bagzhanov G.I., Dokukin A.A., Gubarev K.K., Kutsyi M.B., Popugaev K.A. Adrenal Dysfunction in Severe Community-Acquired Pneumonia Requiring VenoVenous Extracorporeal Membrane Oxygenation. Russian Sklifosovsky Journal "Emergency Medical Care". 2024;13(1):150-155. https://doi.org/10.23934/2223-9022-2024-13-1-150-155
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