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Adrenal Dysfunction in Severe Community-Acquired Pneumonia Requiring VenoVenous Extracorporeal Membrane Oxygenation

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

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

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

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

Aleksey A. Dokukin - Anesthesiologist­Resuscitator, European Medical Center.

3, Shepkina Str., Moscow 129090



K. K. Gubarev
A.I. Burnasyan Federal Medical Biophysical Center
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

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

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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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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ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)