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SSC Resuscitation Adequacy Assessment — FRCA Final MCQ

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ModerateIntensive Care MedicineSSC Resuscitation Adequacy AssessmentFRCA Final

A 55-year-old man on ICU with sepsis has a central venous oxygen saturation (ScvO2) of 82%. His lactate is 1.5 mmol/L, urine output is 1.2 mL/kg/hr, and MAP is 72 mmHg on noradrenaline 0.05 mcg/kg/min. According to SSC endpoints, is his resuscitation adequate?

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Correct answer: D — No – noradrenaline must be stopped before considering resuscitation adequate

SSC 2021 resuscitation targets include: MAP ≥65 mmHg, lactate normalisation (or significant clearance), urine output >0.5 mL/kg/hr, and normalisation of ScvO2 (≥70%). This patient meets ALL targets: MAP 72 (≥65), lactate 1.5 (near-normal), UO 1.2 (>0.5), ScvO2 82% (>70%). The noradrenaline at 0.05 mcg/kg/min is a low dose and should be weaned as tolerated. An ScvO2 >70% in the context of improving lactate and adequate perfusion markers is reassuring. An ScvO2 >80% CAN indicate microcirculatory dysfunction (inability to extract oxygen) but in the context of resolving sepsis with normal lactate, it suggests recovery.

Reference: SSC – 2021 – International guidelines for sepsis management