Septic Shock Clinical Trial
OBJECTIVES:
I. Examine adrenal cortical function and the incidence of adrenal dysfunction in children
with septic shock.
II. Examine the mortality, length of stay in the PICU, and incidence of multiorgan failure
in children with adrenal dysfunction and septic shock.
PROTOCOL OUTLINE:
Patients undergo a corticotropin stimulation test within 8 hours of admission to the PICU.
Blood samples for plasma cortisol and corticotropin levels are drawn at time 0 followed by
corticotropin 1-24 IV. Additional cortisol levels are drawn at 30 and 60 minutes.
Corticotropin is measured by immunoradiometric assay and cortisol is measured by
radioimmunoassay. Mean arterial blood pressure, heart rate, and respiratory rate are
recorded at baseline and at 60 minutes.
Patients receive routine management for septic shock and multiple organ system failure.
;
Primary Purpose: Diagnostic
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