Advanced Hemodynamic Management in Patients with Septic Shock

Figure 2

Algorithm  2—treatment algorithm for hemodynamic management during the intensive care unit stay following the initial 24 hours. Algorithm  2 gives treatment recommendations based on cardiac index (CI), global end-diastolic volume index (GEDVI), extravascular lung water index (EVLWI), and mean arterial pressure (MAP). EVLWI is complemented by the arterial partial pressure of oxygen (PaO₂)/fraction of inspired oxygen (FiO₂) ratio to account for the individual pulmonary function of the patient. During treatment according to Algorithm  2 all patients receive norepinephrine to maintain a MAP of ≥65 mmHg.