Key messages

• In circulatory shock, fluid administration must be optimized before the introduction of any pharmaceutical agent.

• Excessive vasoconstriction can further compromise tissue perfusion and patients must be carefully monitored.

• If hypotension persists despite adequate fluid resuscitation, dopamine administration should be commenced, followed by norepinephrine (noradrenaline) or epinephrine (adrenaline) if required.

• Vasopressors have little positive effect on regional blood flow and the concurrent adminsitration of an inotrope may be considered.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

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