Hello group, I have a question on the CMS bundle and the revised SCCM guidelines concerning volume resuscitation and application of vasopressors. The 3 hours bundle states fluid 30ml/kg for hypotension or lactate >4. The 6 hour bundle states to apply vasopressors for hypotension that does not respond to initial fluid resuscitation. Is the recommendation to add vasopressor after 30ml/kg or can the provider give more fluid and then within the 3-6 hour window then apply vasopressors for sustained hypotension? There is discussion among our team referring to the ARISE trial and that the variable of vasopressor therapy did not change outcomes. Any insight on the perspective of others is appreciated. Jeanie Bollinger
Jeanie Bollinger MSN,RN,ACCNS-AG, CCRN Sepsis Clinical Nurse Specialist Nursing Department of Excellence Mission Health Asheville, NC Phone: 828-213-7171 Beeper: 828-207-2363 ---------------------------------------------------------------------------------------------------- This message and its attachments may contain confidential and/or legally-sensitive information that is intended for the sole use of the addressee(s). Any unauthorized review, use, disclosure, or distribution of the information contained in this message and its attachments is prohibited. If you have received this message or any of its attachments in error, please destroy all originals and copies of the same and notify the sender immediately.
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