Excessive vasopressors or excessive hypotension: Searching for the goldilocks zone in mean arterial pressure targets

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Young, Paul J
White, Kyle C
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2025
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Abstract

Untreated, severe hypotension rapidly results in end-organ hypoperfusion and death.1 Vasopressors are effective at increasing blood pressure; therefore, the infusion of vasopressors to avoid hypotension is a key intensive care unit (ICU) therapy.2 Current guidelines suggest targeting a mean arterial pressure (MAP) of 65 mmHg in adults with septic shock.3 Despite this MAP levels in ICU, patients receiving vasopressors often exceed this and recent evidence suggests that, compared to usual practice, targeting a lower MAP, effectively minimising exposure to vasopressors, may reduce mortality in patients with vasodilatory shock.4,5

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Critical Care and Resuscitation

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27

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1

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© 2025 The Authors. Published by Elsevier B.V. on behalf of College of Intensive Care Medicine of Australia and New Zealand. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Young, PJ; White, KC, Excessive vasopressors or excessive hypotension: Searching for the goldilocks zone in mean arterial pressure targets, Critical Care and Resuscitation, 2025, 27 (1), pp. 100101

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