Persistant catecholamine shock

• Rule out and correct pericardial effusion, pneumothoras and intra-abdominal pressure above 12 mm/Hg.
• Consider pulmonary artery, PICCO or FATD catheter and/or doppler ultrasound to guide fluid, inotrope, vasopressor, vasodilator and hormonal therapies.
• Goal CI over 3.3 and below 6.0 L/min/m²

Is shock reversed?