The importance of accurate management of blood pressure in acute care clinical areas such as peri-operative, ED/trauma and ICU. The potential pitfalls of uncontrolled SBP directly influences patient outcomes such as hypoxia, acute kidney injury and other end-organ complications. Cleviprex is an ultra-fast acting IV L-type calcium channel blocker with 1-minute half-life that has been researched extensively in a variety of setting (intra-operative, ICU and stroke centres. Tight control of blood pressure whether hyper- or hypotension improves outcomes significantly.