Which of the following is the best parameter for monitoring septic shock?
Central venous pressure (CVP)
Vasopressor requirement
Urine output
Serum lactate
Definitions of sepsis, severe sepsis, and septic shock Sepsis category Sepsis-3 2001 Sepsis CMS Sep-1 Sepsis SOFA score> 2 + suspected infection 2 of 4 SIRS criteria + suspected infection 2 of 4 SIRS criteria + suspected infection Severe Sepsis Not applicable Sepsis + organ dysfunction, hypoperfusion or hypotension Sepsis + sepsis - induced organ dysfunction Septic Shock Vasopressor requirement to maintain MAP> 65 mm Hg + Serum lactate level > 2 mmol/L in the absence of hypovolemia Sepsis induced hypotension persisting after adequate IV fluid resuscitation + presence of perfusion abnormalities or organ dysfunction Lactate > 4 mmol/L SBP <90 mm Hg. not responsive to IV fluids MAP <70 mm Hg not responsive to IV fluids
Shock