Cardiac arrest & resuscitation

Blood pressure targets and management during post-cardiac arrest care

ResuscitationPublished Narrative review

Authors' conclusion

Noteworthy is that all studies to date have focused mainly on patients with a cardiac cause of the arrest with the majority of patients being resuscitated from a shockable initial rhythm.

Study context

Population
Patients treated in the ICU after cardiac arrest4 studies
Comparison
Higher vs lower mean arterial pressure (MAP) target after cardiac arrest
Outcome
Treatment effect of higher vs lower MAP target (Bayesian meta-analysis of 4 studies)

Main finding

As reported in the abstract

Posterior probability that a future study would find treatment effects >5% difference between groups

less than 50%

Achieved mean difference of MAP between groups

10-15 mmHg

Further findings

Hypotension requiring vasopressors (epidemiological data)

Occurs in almost 50% of patients

Original publication

Blood pressure targets and management during post-cardiac arrest care. Resuscitation. Published 26 June 2023. doi:10.1016/j.resuscitation.2023.109886

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