Sepsis & infection

Vasopressor utilization in septic shock patients receiving propofol versus midazolam

J Crit CarePublished Retrospective cohort study

Authors' conclusion

In patients with septic shock, vasopressor requirement increases with propofol were non-inferior to midazolam within the first 12 h.

Study context

Population
Adults (≥ 18 years) with septic shock
Exposure
Propofol vs midazolam sedation
Outcome
Maximum increase in vasopressor requirements (norepinephrine equivalents, norepinephrine equivalents (NEE)) following sedative initiation
Follow-up
12 h
Methodological detailsmulticenter, observational, non-inferiority
  • Multicenter
  • Observational
  • Non-inferiority

Main finding

As reported in the abstract

Maximum increase in NEE

P = 0.002

Observational data: associations, not effects.

Secondary outcomes

Maximum increase in NEE · 3 h · no difference

P = 0.208

Maximum increase in NEE · 6 h · significantly lower with propofol

P = 0.043

Maximum increase in NEE · 24 h · significantly lower with propofol

P = 0.013

Original publication

Vasopressor utilization in septic shock patients receiving propofol versus midazolam. J Crit Care. Published 20 October 2024. doi:10.1016/j.jcrc.2024.154935

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