This is a discussion on the use of early, peripheral vasopressors in patients with septic shock.
The core messages:
- limit fluids
- use vasopressors earlier / synergistically with IV fluids
- Use Noradrenaline
- use it peripherally (ie. through a good, watched, flowing IVC - idealaly proxiaml to the elbow.
- think about the use of CVCs and potential harms / benefits in small hospitals.
