医学
血流动力学
重症监护医学
背景(考古学)
危害
围手术期
心理干预
病危
血压
麻醉
护理部
内科学
政治学
生物
古生物学
法学
作者
Filippo D’Amico,Giovanni Landoni
标识
DOI:10.1097/mcc.0000000000001205
摘要
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.
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