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Exposure to stress-dose steroids and lethal septic shock after in-hospital cardiac arrest: Individual patient data reanalysis of two prior randomized clinical trials that evaluated the vasopressin–steroids–epinephrine combination vs epinephrine alone

Cardiovascular Drugs and Therapy Aug 10, 2018

Mentzelopoulos SD, et al. - Researchers investigated if risk of death due to postresuscitation septic shock could be attenuated via exposure to stress-dose steroids during and/or after cardiopulmonary resuscitation. For this purpose, they analyzed two randomized clinical trials that assessed vasopressin, steroids, and epinephrine (VSE) during resuscitation and stress-dose steroids following resuscitation in vasopressor-requiring, in-hospital cardiac arrest. Findings of this reanalysis revealed that a lower risk of postresuscitation lethal septic shock was related to exposure to stress-dose steroids, primarily in the context of a combined VSE intervention.

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