This is a discussion on the use of early, peripheral vasopressors in patients with septic shock.
\nThe core messages:
\n\xa0- limit fluids
\n- use vasopressors earlier / synergistically with IV fluids
\n- Use Noradrenaline
\n- use it peripherally (ie. through a good, watched, flowing IVC - idealaly proxiaml to the elbow.
\n- think about the use of CVCs and potential harms / benefits in small hospitals.