The Surviving Sepsis Campaign guidelines have been updated. Some of the highlights include (abstract):
- Initial fluids with crystalloids at 30cc/kg, with goal in first 6 hours of CVP 8-12mmHg, MAP>65 mmHg, and urine output >0.5cc/kg/hr;
- Antibiotics within 1 hour
- No steroids unless refractory shock and no RBC transfusions unless Hb<7
- Vasopressor of choice is norepinephrine with epinephrine added if needed, phenylephrine only with arrhythmias, if cardiac output is high with low BP, or as salvage therapy, and dobutamine for myocardial dysfunction or continued hypoperfusion.
Leave A Comment