Advanced Hemodynamic Monitoring During Postresuscitation Care After Out-of-Hospital Cardiac Arrest: Protocol for a...

Area of Science:

• Critical Care Medicine
• Cardiovascular Research
• Hemodynamics

Background:

• Out-of-hospital cardiac arrest (OHCA) survivors face high mortality and neurological deficits.
• Post-resuscitation care often involves managing myocardial dysfunction, vasoplegia, and shock.
• Arterial blood pressure alone is insufficient for assessing tissue perfusion.

Purpose of the Study:

• To map evidence on advanced hemodynamic monitoring in early post-ROSC care for adult OHCA.
• To characterize measured hemodynamic variables, timing, methods, and clinical contexts.
• To identify methodological gaps in hemodynamic monitoring research.

Main Methods:

• Scoping review of adult OHCA patients with sustained return of spontaneous circulation (ROSC).
• Inclusion of studies using advanced invasive or non-invasive hemodynamic monitoring (beyond arterial pressure).
• Exclusion of pediatric, animal, simulation, and echocardiography-only studies.
• MEDLINE search (PubMed) from inception to January 31, 2026, with dual reviewer screening and descriptive synthesis.

Main Results:

• This section is to be filled after the review is completed.

Conclusions:

• The review will offer a comprehensive overview of advanced hemodynamic monitoring post-OHCA.
• It will highlight existing evidence and research gaps in this critical area.