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Cardiac arrest
Individualised MAP targets after OHCA (protocol)
Neuroprotection via optimizing cerebral blood flow after cardiac arrest (neuro-intact) study – A phase II proof-of-concept study protocol
Resuscitation Plus · Added 6 August 2026
Phase II protocol testing whether individualised MAP targets derived from real-time cerebral autoregulation monitoring reduce secondary brain injury after cardiac arrest — this proof-of-concept trial uses near-infrared spectroscopy and transcranial Doppler to identify each patient's optimal MAP rather than applying uniform targets.
- Study type
- RCT
- Design
- Phase II single-arm proof-of-concept trial protocol using NIRS and transcranial Doppler to derive individualised optimal MAP
- Participants
- 49 comatose OHCA survivors within 12 h of ROSC
- Caveat
- Protocol only, no results; single-centre, single-arm, surrogate endpoints
- Bottom line
- Hypothesis-generating
Why it matters in Australia (Medium relevance). Protocol study without results yet — the concept of individualised post-arrest blood pressure targets is promising and relevant to Australian practice, but clinical utility depends on trial outcomes showing actual benefit.
Learning goal
Update my approach to blood pressure targets after resuscitation from out-of-hospital cardiac arrest.
More
- Topic: Cardiac arrest
- Daily scan: 6 August 2026
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