Surviving Sepsis Campaign

INSPIRATORY PLATEAU PRESSURE GOAL

Definition

ARDS Net clinical trials suggest that maintaining inspiratory plateau pressures < 30 cm H2O (when accompanied by a low-tidal volume ventilation strategy of 6 mL/kg) reduces mortality in patients with lung injury. Many mechanically ventilated patients with severe sepsis and/or septic shock will meet criteria for lung injury or acute respiratory distress syndrome and could benefit from inspiratory plateau pressures < 30 cm H2O.

Compliance with this bundle element is defined as the percent of patients requiring mechanical ventilation who have a median IPP < 30 cm H2O over the first 24 hours following presentation with severe sepsis and/or septic shock.

Numerator	Number of mechanically ventilated patients with severe sepsis and/or septic shock who had a median IPP < 30 cm H2O over the first 24 hours following presentation with severe sepsis and/or septic shock
Denominator	Number of mechanically ventilated patients presenting with severe sepsis and/or septic shock

Exclusion: Patients not mechanically ventilated

Goal

Increase the number of cases of mechanically ventilated patients with severe sepsis and/or septic shock who maintain inspiratory plateau pressures < 30 cm H2O to 100 percent.

Related Changes

Prevent Excessive Inspiratory Plateau Pressures

Sample

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