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http://hdl.handle.net/11690/3673
Autor(es): | Boniatti, Márcio Manozzo Nedel, Wagner Luis Rihl, Marcos Frata Schwarz, Patricia Parolo, Edino |
Título: | Effect of Cyproheptadine on Ventilatory Support-free Days in Critically Ill Patients with COVID-19: An Open-label, Randomized Clinical Trial |
Palavras-chave: | Coronavirus disease 2019;Cyproheptadine;Intensive care unit;Serotonin;Ventilatory support |
Data do documento: | 2023 |
Citação: | BONIATTI, M. M. et al. Effect of Cyproheptadine on Ventilatory Support-free Days in Critically Ill Patients with COVID-19: An Open-label, Randomized Clinical Trial. Indian Journal of Critical Care Medicine, v. 27, n.7, 2023. Disponível em: https://www.ijccm.org/abstractArticleContentBrowse/IJCCM/64/27/7/33119/abstractArticle/Article. Acesso em: 16 nov. 2023. |
Resumo: | Background: Serotonin is a mediator of pulmonary hypoxic vasoconstriction. Experimental studies have shown that serotonin-mediated pulmonary vasoconstriction can be inhibited by cyproheptadine. The aim of this study is to assess whether treatment with cyproheptadine compared to usual care increases ventilatory support-free days during the first 28 days in patients with coronavirus disease 2019 (COVID-19) requiring ventilatory support. Materials and methods: This randomized, single-center, open-label clinical trial included patients who were admitted to the intensive care unit (ICU) requiring ventilatory support due to COVID-19. Patients allocated to the intervention group received cyproheptadine for 10 days. The primary outcome was ventilator-free days during the first 28 days. Results: Nineteen patients were randomized to receive cyproheptadine and 21 to the control group. The number of ventilatory support-free days during the first 28 days was not different between the two groups (15.0; 95% CI, 0.0–24.0 days in the control group vs 7.0; 95% CI, 0.0–19.0 days in the intervention group; p = 0.284). Conclusion: In patients with COVID-19 and in need of ventilatory support, the use of cyproheptadine plus usual care, compared with usual care alone, did not increase the number of ventilatory support-free days in 28 days. |
Aparece nas coleções: | Artigo de Periódico (PPGSDH) |
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IJCCM-27-517.pdf | Open Access | 345,25 kB | Adobe PDF | Visualizar/Abrir |
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