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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.

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