TY  - BOOK
AU  - Abdalaziz Mostafa Abdalziz Zahran 
AU  - Ayman Heikal , 
AU  - Hesham Alaassar , 
AU  - Sameh Elmaraghi , 
TI  - The effect of low - dose hydrocortisone on requirement of norepinephrine and lactate clearance in patients with refractory septic shock / 
PY  - 2012///
CY  - Cairo : 
PB  - Abdalaziz Mostafa Abdalziz Zahran , 
KW  - Hydrocortisone
KW  - Refractory septic shock
KW  - Serum lactate
N1  - Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine; Issued also as CD
N2  - Cortisol is necessary to survive critical but absolute adrenal insufficiency is rare among critically ill patients . However many observations argue that suboptimal cortisol production may be common and associated with worse outcomes . Suboptimal cortisol production during septic shock has been termed functional or relative adrenal insufficiency . In the 1990 s interest in corticosteroids as a therapy in septic shock was renewed this time using smaller more physiological doses for longer duration
ER  -