• Filippo D'Amico and Giovanni Landoni.
• Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute.
• Curr Opin Crit Care. 2024 Sep 9.

Purpose Of ReviewThis editorial aims to highlight the evolving concept of protective hemodynamics in the management of critically ill patients.Recent FindingsRecent 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.SummaryThe 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.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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