Cardiac arrest & resuscitation

The impact of blood pressure targets on venous return physiology during post cardiac arrest care

Acta Anaesthesiol ScandPublished Secondary analysis of the BOX randomised trial

Authors' conclusion

In conclusion, a higher MAP target effectively increased the stressed intravascular volume to sustain a higher CO.

Study context

Population
Survivors of OHCA in intensive care
Participants
730 survivors
Comparison
Higher vs lower BP target
  • MAP63n = 362reference
  • MAP77n = 368
Primary endpoint
Venous return physiological variables (Pmsa, VRdP, RVR, Eh) over time
Follow-up
From ICU admission over 36 h
Methodological detailsexploratory, post-hoc analysis
  • Exploratory
  • Post-hoc analysis

Primary result

As reported in the abstract

Pmsa consistently higher in MAP77
p < .03
Progressively increasing VRdP in MAP77
p < .0001
Increased CO in MAP77
p < .001
Similar stroke volumes; higher heart rate in MAP77
p < .001
Resistance to venous return (RVR) higher in MAP77, gradually decreased in both groups
p < .04

Original publication

The impact of blood pressure targets on venous return physiology during post cardiac arrest care. Acta Anaesthesiol Scand. Published 16 April 2025. doi:10.1111/aas.70038

Composed by AI from the published abstract and checked against it. How Briefs are made →

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