Treatment of Septic Shock is all a guideline

I went to a talk by one of the authors of the Surviving Sepsis Campaign. He went through all the points in the SSC. His major point is that the endpoints, such as CVP 8-12, SVO2 >70, MAP>65 are all starting points. You need to use some clinical judgment. For example, let’s say you have a young patient who has a good vascular system. You get the MAP to 60, and the patient starts to pee. Should you push the pressor just to get the MAP to 65? Not necessarily. On the other hand, if you have an elderly patient with atherosclerosis, you may need a higher MAP