Table 4
Author, date and countryPatient groupStudy type (level of evidence)OutcomesKey resultsStudy weaknesses
Lindner KH et al, 1997, Germany40 prehospital VF arrestsProspective randomised double blind trialRestoration of spontaneous circulation55% adrenaline v 80% vasopressin patients (p=0.18)Only looked at VF
Randomised to receive either initial dose vasopressin (40 U) or adrenaline (1 mg)GCS on discharge10.7 adrenaline v 11.7 vasopressinSmall patient sample
Survival to discharge15 % adrenaline v 40 % vasopressin (p=0.16)All out of hospital arrests with mean emergency team response times of six minutes
Spontaneous circulation on admission to hospital35% adrenaline v 70% vasopressin (p=0.06)
24 hour survival20% adrenaline v 60 % vasopressin (p=0.02)
Stiell IG et al, 2001, Canada200 patients treated for cardiac arrest in three hospitals.Prospective randomised double blind trialSurvival to dischargeVasopressin 12%, adrenaline 14%Powered only to show a 20% difference in one hour survival
Presence of pulse and BP for one hour after resuscitationVasopressin group 39% Adrenaline group 35% (not significant)
Randomised to receive either initial dose vasopressin (40 U) or adrenaline (1 mg)30 day survivalNo difference between groups
Neurological function at dischargeNo difference between groups