Restoration of tissue perfusion and reversal of shock is identified by the following therapeutic endpoints
1.
Quality of central and peripheral pulses : strong, distal pulses equal to central pulses
2.
Skin perfusion : warm, with capillary refill <2 sec
3.
Mental status : normal mental status
4.
Urine output : ≥1 mL/kg/hour, up to 40 mL/hour, once effective circulating volume is restored
5.
Blood pressure : SBP at least 5th percentile for age
However, BP by itself is not a reliable end point for assessing adequacy of resuscitation
6. Normal serum lactate : eg, <2 mmol/L
