Affiliation:
1. Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute
2. School of Medicine, Vita-Salute San Raffaele University, Milan, Italy
Abstract
Purpose of review
This editorial aims to highlight the evolving concept of protective hemodynamics in the management of critically ill patients.
Recent findings
Recent literature underscores the limitations of rigid blood pressure targets, particularly in the context of critical care and perioperative management. High blood pressure targets, especially when coupled with high-dose vasopressors, can lead to poor outcomes. ’Protective hemodynamics’ aims to maintain cardiovascular stability while reducing risks associated with interventions.
Summary
The implications of adopting protective hemodynamics are profound for both clinical practice and research. Clinically, this approach can reduce iatrogenic harm and improve long-term outcomes for critically ill patients. For research, it opens new avenues for investigating individualized hemodynamic management strategies that prioritize overall patient stability and long-term health over rigid target attainment.
Publisher
Ovid Technologies (Wolters Kluwer Health)