Most therapies that fail to show benefit in well-conducted,randomized, controlled trials are abandoned by both clinicalinvestigators and pharmaceutical companies. Treatment with exogenoussurfactant for the acute respiratory distress syndrome (ARDS)appears to enjoy a different status. In this issue of the Journal,Spragg and coworkers (pages 884892) present the resultsof two multicenter trials of recombinant surfactant therapyin ARDS, showing no significant difference in mortality betweenthe groups of patients who received surfactant and those whoreceived placebo. This report follows a number of other clinicalstudies, including a large, negative, multicenter, randomized,controlled trial that was . . . [Full Text of this Article]
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From the University Department of Surgical Sciences and the Department of Anaesthesia, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
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