Early goal-directed therapy
From IDWiki
- Related to Surviving Sepsis campaign
- Based on Rivers trial (2001)
- Goals, in order:
- CVP 8-12 mmHg, achieved with fluid boluses
- MAP >65 mmHg, achieved with vasopressors if necessary
- ScvO2 >70%, achieved with packed RBC transfusions and dobutamine if necessary
- UOP >0.5 mL/kg/hr
- Norepinephrine and vasopressin better than dobutamine