VANISH
Vasopressin versus Norepinephrine in Septic Shock
Paciente / Población Intervención / Exposición Comparación Desenlace
In 409 patients with septic shock, early vasopressin (± hydrocortisone) did not increase kidney-failure-free days versus norepinephrine, but reduced RRT use.
N
409
Diseño
Factorial 2×2 RCT
Desenlace
Kidney-failure-free days at 28 days
Relevancia
3
ResultadoNo difference in primary endpoint. RRT 25.4% vs 35.3% (Δ −9.9%).
Gordon AC, et al. JAMA. 2016;316(5):509-518. 10.1001/jama.2016.10485
Discusión y crítica
Norepinephrine stays first-line; vasopressin's renal signal is hypothesis-generating.