Circulatory failure and the use of inotropes

By the end of this chapter you will be able to:

• understand what happens in shock

• understand the basic physiology of the circulation

• know that pressure is not the same as flow

• use inotropes logically

• understand how to use and interpret central venous pressure measurements

• understand the principles and controversies surrounding the PA catheter

• be aware of other ways of measuring cardiac output

• understand the principles of the medical treatment of cardiogenic shock

• apply this to your clinical practice

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