I'm afraid the subject is much more complex than it would at first appear.
Could I respectfully refer you to 'Mostafa SM, Masterton G & Diver MJ. Brit
J Anaesth. 1999;88:476-478' and the other correspondence referred to in the
article.
Michael Diver.
--On 15 October 2003 15:23 +0100 Dr Mike Wheeler <[log in to unmask]>
wrote:
> I would like to confirm Paul Collinson's comment. Our ITU team have been
> carrying out synacthen tests on some of their patients and it is not
> unusual to see poor/flat Reponses with a basal cortisol in the middle of
> the reference range. A reference range for ITU patients would start at
> the top of the normal range for normal subjects.
>
>
> Dr Mike Wheeler
> Consultant Clinical Scientist
> Department of Chemical Pathology
> St Thomas' Hospital
> London SE1 7EH
>
> Tel: 020 7928 9292 Ext 2387
> Fax: 020 7928 4226
> London SE1 7EH
>
> Tell: +44 (0)171 928 9292 Ext 2387
>
> Fax +44 (0)171 928 4226
>
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