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Vasoplegia after cardiac surgery

Critical Matters

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Individualizing Post-Cardiac Surgery MAP Targets

This chapter discusses the importance of tailoring mean arterial pressure (MAP) targets for patients after cardiac surgery, moving away from the standardized 65 mmHg threshold. It highlights the complexities of managing vasoplegia, exploring various treatment strategies, including conventional vasopressors and emerging therapies like hydroxycobalamin and angiotensin II. Additionally, the chapter scrutinizes the risks and benefits of therapies such as methylene blue and emphasizes the necessity of personalized approaches in patient care.

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