Medicina intensiva
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Treatment with low dose steroids (LDST) in patients with septic shock treated with vasoactive agents has been related to earlier shock reversal. Patients with low baseline cortisol and a blunted response to the corticotropin test are more likely to benefit from LDST, so we compared the immediate hemodynamic response in patients with septic shock who received LDST with that of those who did not receive LDST. ⋯ LDST was not associated to improved 24-hour hemodynamic response, irrespective of the baseline and stimulated cortisol levels.