September 11, 2026 · Critical care medicine · DOI: 10.1097/CCM.0000000000007364

Mortality Effect of Peripheral Perfusion-Guided Resuscitation in Vasodilatory Shock: A Systematic Review and Dual Frequentist-Bayesian Meta-Analysis of Randomized Trials

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The authors aimed to evaluate the impact of peripheral perfusion-guided resuscitation on 28-day mortality in adults experiencing vasodilatory shock. Their systematic review and meta-analysis of seven randomized controlled trials found a pooled risk ratio suggesting a potential reduction in mortality, although this did not reach statistical significance. The Bayesian analysis indicated a high probability that the intervention may be beneficial, highlighting the need for further adequately powered studies to clarify its clinical significance.

Henrique Mendes, João Victor Silva Correia, Mariana Merighi Moreira Salles, Eduardo Kattan, Glenn Hernández, Rafael Hortêncio Melo

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