Table 1

Protocol for the Adrenal Insufficiency in Paediatric study

InterventionTimingDetailsNotes
ACTH stimulation testWithin 26 h of admissionOne sample of blood followed by a small intravenous dose of ACTH followed by another sample of bloodBlood taken from an already existing line (ie, no venipuncture required)
This test is often part of standard-of-care and may have been administered regardless of the study
Repeat ACTH stimulation test24 h after first testSee aboveOnly performed if patient still in the PICU with appropriate lines for bloodwork.
Total amount of blood over 2 days is less than a teaspoon
  • ACTH, adrenocorticotrophic hormone; PICU, paediatric intensive care unit.