Tuesday October 25, 2005
STOP Sepsis bundle - another step forward

After instituting Dr. Rivers' Early Goal Directed Therapy (EGDT) in septic patients - it is imperative to implement Dr. Nguyen's "yes/NO" STOP sepsis bundle as a second step - including

1. Hemodynamic monitoring (CVP/ScvO2 ) within 2 hours

2. Broad spectrum antibiotics administered within 4 hours

3. EGDT achieved at 6 hours (CVP of 8 mm Hg or higher, MAP of 65 mm Hg or higher, ScvO2 of 70% or higher)

4. Monitor for decreasing lactate, and

5. Administer steroid if the patient is on a vasopressor.

See Dr. Nguyen's - Loma Linda University's STOP sepsis bundle at Ref. # 1

References:
1. About the STOP Sepsis Bundle Toolkit - H. Bryant Nguyen, MD, MS
2. IMPROVING THE UNIFORMITY OF CARE WITH THE STOP SEPSIS BUNDLE - Critical Care Medicine: Volume 32(12) Supplement December 2004 p A11