A 65-year-old man on ICU with septic shock has a ScvO2 of 55% measured from the internal jugular CVC. His cardiac index is 2.0 L/min/m2, Hb 75 g/L, Pa...

Question

A 65-year-old man on ICU with septic shock has a ScvO2 of 55% measured from the internal jugular CVC. His cardiac index is 2.0 L/min/m2, Hb 75 g/L, PaO2 12 kPa on FiO2 0.4, and lactate 4.5 mmol/L. What is the most important intervention to improve oxygen delivery?

Accepted Answer

Transfuse packed red cells to improve haemoglobin and oxygen-carrying capacity

Answer

Increase FiO2 to 1.0

Answer

Administer IV sodium bicarbonate

Answer

Commence therapeutic hypothermia to reduce oxygen consumption

Answer

Increase PEEP to 20 cmH2O

uk-fficm MCQ (SBA): Oxygen Delivery Optimisation

A 65-year-old man on ICU with septic shock has a ScvO2 of 55% measured from the internal jugular CVC. His cardiac index is 2.0 L/min/m2, Hb 75 g/L, PaO2 12 kPa on FiO2 0.4, and lactate 4.5 mmol/L. What is the most important intervention to improve oxygen delivery?