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.