Cohort Studymoderate evidence
Mean arterial pressure-to-norepinephrine-equivalent dose ratio, rather than achieved mean arterial pressure alone, is associated with mortality in septic shock.
Journal of intensive care·July 13, 2026·PMID 42443966
Why it mattersIn septic shock, targeting higher MAP often fails to improve survival and may identify patients with worse outcomes due to impaired vascular responsiveness. The MAP/NEQ ratio offers a simple bedside metric to quantify vasoplegia and may improve early risk stratification beyond achieved MAP alone.

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