Seguin 2006.
| Methods | Single‐centre randomized controlled trial, University hospital; France | |
| Participants | Adult participants with septic shock (study authors' definition) Mean age = 66 years, 23% female SAPS II score = 54, SOFA score = 10 (N = 22) |
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| Interventions | Dopexamine (DX) infusion 0.5 mcg/kg/min and norepinephrine (NE) infusion 0.2 mcg/kg/min If cardiac index > 3 L/kg/min, NE increased by 0.2 mcg/kg/min every 3 minutes until MAP 70 to 80 mm Hg If cardiac index < 3 L/kg/min, DX increased by 0.5 mcg/kg/min every 3 minutes until MAP 70 to 80 mm Hg vs Epinephrine infusion 0.2 mcg/kg/min. Increased by 0.2 mcg/kg/min every 3 minutes until MAP 70 to 80 mm Hg |
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| Outcomes | Gastromucosal blood flow (primary), haemodynamics, 28‐day mortality, 90‐day mortality For the mortality analysis, we used data on 90‐day mortality |
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| Notes | Funding: This study was supported by Grant from Rennes University Hospital and Rennes 1 University, 2001 Clinical Research Program, Rennes, France Conflict of interest: none reported |
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| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | Appropriately reported |
| Allocation concealment (selection bias) | Low risk | Appropriately reported |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | Appropriately reported |
| Explicit in‐/exclusion criteria | Low risk | Described explicitly |
| ITT‐analysis | High risk | Not performed |
| Adequate patient description | Low risk | Adequately described |
| Identical care | Low risk | Described |
| Outcome description | Low risk | Adequately described |
| Physicians blinded | Unclear risk | No sufficient information |
| Outcome assessors blinded? | Unclear risk | No sufficient information |