Sepsis & infection

Effect of Early Administration of Shenfu Injection on Hemodynamics in Septic Patients: A Multicenter, Randomized, Controlled Trial

Crit Care MedPublished Randomised controlled trial

Authors' conclusion

The early administration of SFI did not decrease the dosage of vasopressors.

Study context

Population
ICU patients 18–75 years old meeting Sepsis-3 criteria, 4 tertiary hospitals in central China
Participants
172 patients
Comparison
Shenfu injection vs normal saline
  • Shenfu injection (SFI)n = 86
  • Controln = 86reference
Primary endpoint
Amount of vasopressors administered (norepinephrine equivalents [NEEs])
Methodological detailsprospective, multicentre
  • Prospective
  • Multicentre

Primary result

As reported in the abstract

Total NEE doses

SFI

22.00

range 16.00–29.50

Control

20.00

range 12.50–28.50

P = 0.16

Secondary outcomes

ICU mortality · during ICU stay

P = 0.04

28-day mortality · 28 days after treatment

P = 0.04

Sublingual microcirculation indicators

Significant improvement in SFI vs control

Safety

No significant drug-related adverse events in either group

Original publication

Effect of Early Administration of Shenfu Injection on Hemodynamics in Septic Patients: A Multicenter, Randomized, Controlled Trial. Crit Care Med. Published 15 July 2026. doi:10.1097/ccm.0000000000007269

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