Re: Normal CVP? Originally Posted by Sue Damones 
Is this due to the extra PEEP when someone is intubated? Our sepsis orders have a goal of 8-12, regardless of vented/not vented. Thanks!
Sue, I've been searching a while for the answer to this--I just can't find it. It certainly seems to make sense though. Intubation and added peep increases intrathoracic pressure which results in decreased venous return and subsequently decreased CO. I'll post the link to Manny Rivers Paper on severe sepsis; I couldn't find anything there but this is the paper that began early goal directed therapy protocols that our ICU (and many others) have adopted. Many hospitals have modified this as new knowledge is discovered (which happens every couple of years it seems). If the link doesn't work I used a basic google search for "Manny Rivers sepsis paper".
Sorry I couldn't anser your question more directly. It is quite possible too, Sue, that as most hospitals will adopt a modified version of the original recommendations, the higher CVP requirements at my institution were implemented based on the infectious desease medical control policy.
http://www.nimbot.com/EGDT/Early%20G...ic%20Shock.pdf 
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