Acute cardiac care & resuscitation
Advanced hemodynamic monitoring during post-resuscitation care after out-of-hospital cardiac arrest: a scoping review
- scoping review
- prespecified protocol
- PRISMA-ScR methodology
+2 more
- prespecified protocol
- PRISMA-ScR methodology
Authors' conclusion
Advanced hemodynamic monitoring after OHCA remains heterogeneous, with a focus mainly on MAP and cardiac output. No single variable was consistently associated with prognosis or treatment response, although low SvO2 and elevated pulmonary artery pressure were associated with worse outcomes. Future studies should evaluate strategies integrating multiple hemodynamic variables and individualized patient-centered hemodynamic targets.
Study context
- Population
- Hospitalized adults after out-of-hospital cardiac arrest (OHCA) with advanced hemodynamic variables reported beyond routine arterial blood pressure monitoringstudies included
- Participants
- Twenty-eight adults
Main finding
As reported in the abstract
cardiac output
27/28 studies
mean arterial pressure (MAP)
25/28
central venous pressure
17/28
mixed venous oxygen saturation (SvO2)
14/28
Further findings
Monitoring modality
- Monitoring predominantly invasive and most often based on pulmonary artery catheterization
Prognostic associations
- Cardiac output showed inconsistent associations with outcomes
- Low SvO2 and elevated pulmonary artery pressure associated with worse outcomes in some studies
- heterogeneous
Hemodynamic targets
- Variably defined and most frequently related to MAP-targets
Original publication
Summarised from the published abstract; every number is checked against it