Patient Haemodynamics
MAP
Phenylephrine
Fluid Bolus
SBP/DBP
Heart Rate
StriveMAP Recommendations
RL-POWEREDExpected Benefit -- Mean Arterial Pressure & Fluid Bolus
Mean Arterial Pressure observed in similar patients
greatest Expected Benefit
sufficient decisions
insufficient data
Expected Benefit
<55
55-60
60-65
[65-70]
70-75
75-80
>80
MAP (mmHg)
Fluid Bolus Analysis of similar decisions
| Summary | Expected Benefit | Significance |
|---|---|---|
| No fluid bolus given (161 cases) | 73.6 | HIGH |
| 250 mL crystalloid bolus (65 cases) | 62.2 | MED |
| Oral fluids only (54 cases) | 54.4 | LOW |
Clinical Outcomes Evidence
RETROSPECTIVEWhat happened when clinicians followed vs. ignored StriveMAP recommendations in similar cases
Followed Recommendation
MAP >65 within 2h78%
Avoided vasopressor escalation64%
ICU LOS (median)4.2d
28-day mortality12%
Ignored Recommendation
MAP >65 within 2h48%
Avoided vasopressor escalation31%
ICU LOS (median)7.8d
28-day mortality29%
n=280 similar trajectories|Retrospective cohort analysis|Adjusted for APACHE IV, age, comorbidity burden
Clinicians should exercise their own clinical judgement. StriveMAP assists, human decides.StriveMAP assists, human decides.v2.4.1 • 280 cases