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. 2023 Oct 5;27:386. doi: 10.1186/s13054-023-04655-8

Table 2.

Proposed targets for control of systemic causes of secondary brain injury

Variable Proposed target Comments
MAP 65–80 mmHg

A higher MAP target (≥ 80mmHg) is not associated with reduced mortality [61, 63]

A higher MAP target is associated with higher RASS scores during ICU stay [64]

PaO2 80–120 mmHg Hyperoxia is associated with increased mortality [65]
PaCO2 35–45 mmHg Hypercapnia (> 45 mmHg) is associated with an increased risk of SAE [8]
Temperature 36–38.3°C Fever (> 38.4 °C) is associated with higher mortality [66, 67]
Natremia 135–145 mmol/L Hypernatremia is associated with an increased risk of SAE [8]
Glycemia 5–10 mmol/L Hypoglycemia (< 3 mmol/l) and hyperglycemia (> 10 mmol/l) are associated with an increased risk of SAE [8]
Hemoglobin  > 7g/dL A higher transfusion threshold (> 9g/dL) is not associated with decreased mortality [68, 69]

MAP mean arterial pressure; RASS Richmond agitation sedation scale; SAE Sepsis-associated encephalopathy