1. Titrate Noradrenaline & fluids a. Aim ScvO2 >70% b. Hb >10 g/dl 2. If remains hypotensive add low dose vasopressin, terlipressin or methylene blue. 3 . These are potent vasoconstrictors & should be used with CO/ ScvO2 monitoring 4. If ScvO2 remains