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Integrated Compensatory Responses in a Human Model of Hemorrhage
Published on: November 20, 2016
Protective hemodynamics: a novel strategy to manage blood pressure
Filippo D'Amico1, Giovanni Landoni1,2
1Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute.
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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