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