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. 2015 Oct 20;3:e1290. doi: 10.7717/peerj.1290

Table 1. Quality parameters in the elderly resuscitation bundle.

1 Lactate: Measured before or within 1 h after blood culture.
2 Blood culture: Drawn before antibiotics.
3 Antibiotic: Administered within 1 h of severe sepsis onset.
4 Fluid: Fluid given until one of the following
a. CVP ≥ 8 (on MV 12) mmHg.
b. MAP ≥ 65 mmHg and lactate < 2.5 mmol/L and UO > 0.5 mL/kgh.
c. 12 L of crystalloid equivalent.
5 Vasopressor: Administered for 1 of the following
a. MAP < 65 mmHg despite fluid challenge.
b. MAP < 50 mmHg for ≥ 15 min.
6 RBC: Transfused if Hct < 30% and ScVO2 < 70% or mixed venous O2 sat < 65% despite fluid resuscitation (RBC before adequate fluid resuscitation is inappropriate).
7 Inotrope: Started if Hct ≥ 30% and ScVO2 < 70% or mixed venous O2 sat < 65% despite fluid resuscitation (inotrope before adequate fluid resuscitation is inappropriate).

Notes.

CVP
Central Venous Pressure
MAP
Mean arterial pressure
RBC
Red blood cell
Hct
Hematocrit