Fluids Are Not Enough: The Anesthesia Hypotension Fix You Are Probably Missing

Normovolemic hypotension is one of those anesthetic complications that feels deceptively simple and then stubbornly refuses to resolve. You check the patient, volume status looks fine, there is no obvious hemorrhage, and yet the mean arterial pressure keeps drifting south. If your reflex is to reach for more fluids, this recent experimental study in dogs suggests you may be treating the wrong problem.