Goal progression in EGDT for sepsis
CVP>10mmHg if not intubated, >14mmHg if intubated - fluids
MAP>=65 mmHg or SBP>90mmHg - vasopressors, titrate toi effect, consider empiric steroids
ScvO2 >70% - pRBC to Hct >30.. inotropes if that still isnt getting the Scvo2>70%....
Another goal to think about is lactate clearance... can repeat a lactate, and compare it to your baseline... Clearance by >=10% is great
If that doesn't work, start over... should be in the ICU by this point.