The authors apologise for the publication of an error in Table 2 of this article published in the European Journal of Endocrinology 167 137–143. They wish to make clear in Table 2 that they are stipulating the dose of etomidate and that the corresponding dose of hydrocortisone for complete blockade should be 0.5–1.0 mg/h. The correct table is published in full below.
Treatment of hypercorticolism with etomidate: Recommendations.
|Infusion rate options||Blockade||Cortisol level||Biochemical monitoring||Other|
|Etomidate (IV) 0.04–0.05 m/kg per h=2.5–3.0 mg/h||Partial to complete depending on clinical circumstance of the patient||Titrate to serum cortisol 500–800 nmol/l in physiologically stressed patient, 150–300 nmol/l in non-physiologically stressed patient||Potassium level Cortisol level||Sedation scoring initially every two hours then every 12 hours after first 24 hours|
|Hydrocortisone IV 0.5–1.0 mg/h||Complete (will need steroid replacement)||<150 nmol/l||Potassium level Cortisol level|
This table could now be used as a practical guide for clinicians commencing infusions on the ward of etomidate and required hydrocortisone replacement.