What MAP target is commonly used after ROSC to support organ perfusion?

What MAP target is commonly used after ROSC to support organ perfusion?

• A. MAP ≥60 mmHg
• B. MAP ≥65 mmHg
• C. MAP ≥70 mmHg
• D. MAP ≥75 mmHg

Answer: (B)

After ROSC, keeping blood flow to vital organs steady is essential, especially for the heart and brain, whose perfusion can be fragile after a cardiac arrest. The commonly used target for mean arterial pressure is at least 65 mmHg. This level helps ensure adequate organ perfusion without unnecessarily driving up vasopressor use. If MAP falls below this, organs risk underperfusion and ischemia. While higher targets (like 70–75 mmHg) might be considered in certain patients (for example, ongoing shock or concern for cerebral perfusion), the standard initial goal is MAP around 65 mmHg.

After ROSC, keeping blood flow to vital organs steady is essential, especially for the heart and brain, whose perfusion can be fragile after a cardiac arrest. The commonly used target for mean arterial pressure is at least 65 mmHg. This level helps ensure adequate organ perfusion without unnecessarily driving up vasopressor use. If MAP falls below this, organs risk underperfusion and ischemia. While higher targets (like 70–75 mmHg) might be considered in certain patients (for example, ongoing shock or concern for cerebral perfusion), the standard initial goal is MAP around 65 mmHg.