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Editorial
. 2020 Jul 1;202(1):10-12.
doi: 10.1164/rccm.202004-1124ED.

Personalized Blood Pressure Targets in Shock: What If Your Normal Blood Pressure Is "Low"?

James A Russell  1   2
Affiliations
Editorial

Personalized Blood Pressure Targets in Shock: What If Your Normal Blood Pressure Is "Low"?

James A Russell. Am J Respir Crit Care Med. .
No abstract available

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Figures

Figure 1.
Figure 1.
At present, the target resuscitation mean arterial pressure (MAP) is 65 mm Hg, despite patients having premorbid blood pressures ranging from hypertension to normal-to-low blood pressure. The goal now is to personalize the initial MAP target according to premorbid blood pressure, aiming for 80–85 mm Hg in patients with previous hypertension; 65 mm Hg in patients with previous normotension; and a lower target, perhaps 55 mm Hg, in patients having a low premorbid blood pressure. In all patients, resuscitation should also aim to achieve normal peripheral perfusion (normal capillary refill time < 2 s, absence of cyanosis), improved mentation (Glasgow Coma Score > 12 mm Hg without sedation), and adequate urine output > 0.5 ml/kg/h.
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