Dexmedetomidine to Reduce Vasopressor Resistance in Refractory Septic Shock: α2 Agonist Dexmedetomidine for REfractory Septic Shock (ADRESS): A Double-Blind Randomized Controlled Pilot Trial

Patients in the dexmedetomidine arm had a significantly lower response to phenylephrine at all study times including baseline, which might have contributed to higher early mortality in the dexmedetomidine arm and preclude to conclude on dexmedetomidine efficacy in refractory septic shock. However, heart rate was not decreased in the dexmedetomidine arm.

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Publication Details

Journal
Critical Care Medicine
Published
2025-02-28
DOI
https://doi.org/10.1097/ccm.0000000000006608
Citations
11
Primary Topic
Intensive Care Unit Cognitive Disorders
Type
article
Field-Weighted Citation Impact
17.00
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article

Dexmedetomidine to Reduce Vasopressor Resistance in Refractory Septic Shock: α2 Agonist Dexmedetomidine for REfractory Septic Shock (ADRESS): A Double-Blind Randomized Controlled Pilot Trial

Amélie Cransac, Abderrahmane Bourredjem, Marine Jacquier, Auguste Dargent et al.
11 citations
Critical Care Medicine
Intensive Care Unit Cognitive Disorders
17.00
article

Dexmedetomidine to Reduce Vasopressor Resistance in Refractory Septic Shock: α2 Agonist Dexmedetomidine for REfractory Septic Shock (ADRESS): A Double-Blind Randomized Controlled Pilot Trial

Amélie Cransac, Abderrahmane Bourredjem, Marine Jacquier, Auguste Dargent, Julio Badié, Isabelle Fournel, Luc Quintin, Jean‐Pierre Quenot, Laurent Argaud, Julien Bohé, Bruno Lévy
article en
11 citations

Abstract

Patients in the dexmedetomidine arm had a significantly lower response to phenylephrine at all study times including baseline, which might have contributed to higher early mortality in the dexmedetomidine arm and preclude to conclude on dexmedetomidine efficacy in refractory septic shock. However, heart rate was not decreased in the dexmedetomidine arm.

Critical Care MedicineVol. 53(4)
Inserm (FR), Université de Bourgogne (FR), Centre Hospitalier Régional et Universitaire de Nancy (FR), Hospices Civils de Lyon (FR), VetAgro Sup (FR), CHU Dijon Bourgogne (FR), Hôpital d'instruction des Armées Desgenettes (FR), L'Hôpital Nord Franche-Comté (FR), Centre de recherche Translationnelle en Médecine moléculaire (FR), Institut des Vaisseaux et du Sang (FR)
Good health and well-being
Openalex Percentile: Top 0%
Intensive Care Unit Cognitive Disorders
17.00
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