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Table 1 The bundle of 10 recommendations

From: Fluid management and risk factors for renal dysfunction in patients with severe sepsis and/or septic shock

 

Recommendations

# 1

Initial bacteriological samples drawn from sites that are suspected as

the source of infection blood cultures in the first three hours

# 2

Initiating an empirical antibiotics therapy in the first three hours

# 3

Measurement of arterial lactate within the first six hours

# 4

Volume expansion ≥20 ml/kg within the first six hours

# 5

A targeted MAP > 65 mmHg within the first six hours

# 6

Assessments of CVP and ScvO2 within the first six hours

# 7

Glucose control ≤8.3 mmol/l within the first 24 hours

# 8

Low doses of corticosteroids when norepinephrine requirement at fewer than six hours

# 9

Using low tidal volume (≤8ml/kg of ideal body weight)

# 10

Adequate use of rhAPC within the first 24 hours

  1. CVP: central venous pressure; MAP: mean arterial pressure; rhAPC: recombinant human activated protein C; ScvO2: oxygen saturation of central venous haemoglobin