What factors do you consider for patients on an individual basis when establishing a post-cardiac arrest MAP goal after ROSC is achieved, considering some may benefit from higher MAP goals for optimal cerebral perfusion?

What factors do you consider when establishing a post-cardiac arrest MAP goal after ROSC is achieved, particularly for optimal cerebral perfusion?

• I target a MAP of 70 mmHg
• I monitor end organ perfusion indicators such as urine output, lactate levels, mental status, and liver function tests
• I adjust MAP goals based on physical exam findings like skin temperature (cool vs. warm) and the presence or absence of mottling
• I consider pulse pressure variability, adjusting MAP goals for either wide or narrow pulse pressures
• Other