Adding to the
controversy, Salgado et al[53] showed that advanced age
may not be an independent risk factor for relative adrenal
insufficiency. Hence, at present, due to lack of definitive
evidence, we recommend that low dose intravenous hydrocortisone
can be tried in elderly septic shock patients
only in such clinical situations where the blood pressure
is poorly responsive to fluid resuscitation and vasopressor
therapy as recommended by the surviving sepsis guidelines