Table 3.
Author | Participants | Intervention | Control | Primary outcome | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Inclusion criteria | n | SOFA | Basline MAP | Baseline lactate | Dynamic test | Monitor | Parameter measured | Cutoff | Treatment | |||
Kuan35 | Age ≥21, two SIRS criteria, suspected infection and lactate ≥ 3 mmol/L | 122 | 3.4 ± 2.6* | 88 ± 18* | 4.8 ± 2* | PLR | Bioreactance | ∆SVI | 10% | 500 mL bolus | Standard care (target MAP > =65) | Rate of lactate clearance >20% at 3 h |
20% | 1 L bolus | |||||||||||
Hou36 | Age ≥18, two SIRS criteria, lactate ≥2 mmol/L and < 4 mmol/L and 4 h from ED presentation | 64 | 1.1 ± 1.5* | 92* | 2.6 ± 0.4* | Fluid bolus (5 ml/kg over 10 min) | Bioreactance | ∆SV (within 5 min of the fluid bolus) |
10% | 1 L infusion | Standard care | Worsening SOFA score by > =1 point over the first 72 h |
Coen37 | Age ≥18, Septic shock or Lactate >4 mmol/L | 51 | 7.1 ± 2.9 | 60 ± 13 | 4.6 ± 3.3 | Spontaneous breathing | Ultrasound | Caval index | 30% | 500 mL bolus | N/A | N/A |
*Combined from treatment and control groups estimates
SIRS, systemic inflammatory response syndrome; SOFA, sequential organ failure assessment; MAP, mean arterial pressure; PLR, passive leg raise; SVI, stroke volume index; SV, stroke volume