The New England journal of medicine
-
Randomized Controlled Trial Multicenter Study
Inhaled Amikacin to Prevent Ventilator-Associated Pneumonia.
Whether preventive inhaled antibiotics may reduce the incidence of ventilator-associated pneumonia is unclear. ⋯ Among patients who had undergone mechanical ventilation for at least 3 days, a subsequent 3-day course of inhaled amikacin reduced the burden of ventilator-associated pneumonia during 28 days of follow-up. (Funded by the French Ministry of Health; AMIKINHAL ClinicalTrials.gov number, NCT03149640; EUDRA Clinical Trials number, 2016-001054-17.).
-
Randomized Controlled Trial
Intravenous Levothyroxine for Unstable Brain-Dead Heart Donors.
Hemodynamic instability and myocardial dysfunction are major factors preventing the transplantation of hearts from organ donors after brain death. Intravenous levothyroxine is widely used in donor care, on the basis of observational data suggesting that more organs may be transplanted from donors who receive hormonal supplementation. ⋯ In hemodynamically unstable brain-dead potential heart donors, intravenous levothyroxine infusion did not result in significantly more hearts being transplanted than saline infusion. (Funded by Mid-America Transplant and others; ClinicalTrials.gov number, NCT04415658.).
-
Editorial Randomized Controlled Trial
The Importance of Randomized, Controlled Trials in the Care of Organ Donors.