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Critical Care

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https://www.readbyqxmd.com/read/18305265/vasopressin-versus-norepinephrine-infusion-in-patients-with-septic-shock
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RANDOMIZED CONTROLLED TRIAL
James A Russell, Keith R Walley, Joel Singer, Anthony C Gordon, Paul C H├ębert, D James Cooper, Cheryl L Holmes, Sangeeta Mehta, John T Granton, Michelle M Storms, Deborah J Cook, Jeffrey J Presneill, Dieter Ayers
BACKGROUND: Vasopressin is commonly used as an adjunct to catecholamines to support blood pressure in refractory septic shock, but its effect on mortality is unknown. We hypothesized that low-dose vasopressin as compared with norepinephrine would decrease mortality among patients with septic shock who were being treated with conventional (catecholamine) vasopressors. METHODS: In this multicenter, randomized, double-blind trial, we assigned patients who had septic shock and were receiving a minimum of 5 microg of norepinephrine per minute to receive either low-dose vasopressin (0...
February 28, 2008: New England Journal of Medicine
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