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Table 2 Proposed targets for control of systemic causes of secondary brain injury

From: The spectrum of sepsis-associated encephalopathy: a clinical perspective

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]

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