Passive leg raising.

@article{citeulike:2689524, abstract = {OBJECTIVE: To assess whether the passive leg raising test can help in predicting fluid responsiveness. DESIGN: Nonsystematic review of the literature. RESULTS: Passive leg raising has been used as an endogenous fluid challenge and tested for predicting the hemodynamic response to fluid in patients with acute circulatory failure. This is now easy to perform at the bedside using methods that allow a real time measurement of systolic blood flow. A passive leg raising induced increase in descending aortic blood flow of at least 10\% or in echocardiographic subaortic flow of at least 12\% has been shown to predict fluid responsiveness. Importantly, this prediction remains very valuable in patients with cardiac arrhythmias or spontaneous breathing activity. CONCLUSIONS: Passive leg raising allows reliable prediction of fluid responsiveness even in patients with spontaneous breathing activity or arrhythmias. This test may come to be used increasingly at the bedside since it is easy to perform and effective, provided that its effects are assessed by a real-time measurement of cardiac output.}, address = {Service de r\'{e}animation m\'{e}dicale, H\^{o}pital de Bic\^{e}tre, AP-HP, 78 rue du G\'{e}n\'{e}ral Leclerc, 94270, Le Kremlin-Bic\^{e}tre, France, xavier.monnet@bct.aphp.fr.}, author = {Monnet, X. and Teboul, J. L. }, citeulike-article-id = {2689524}, doi = {http://dx.doi.org/10.1007/s00134-008-0994-y}, issn = {0342-4642}, journal = {Intensive care medicine}, keywords = {cardiac, circulation, fluid, icu}, month = {April}, number = {4}, pages = {659--663}, posted-at = {2008-04-18 22:11:43}, priority = {4}, title = {Passive leg raising.}, url = {http://dx.doi.org/10.1007/s00134-008-0994-y}, volume = {34}, year = {2008} }

TY - JOUR ID - citeulike:2689524 L3 - citeulike-article-id:2689524 N2 - OBJECTIVE: To assess whether the passive leg raising test can help in predicting fluid responsiveness. DESIGN: Nonsystematic review of the literature. RESULTS: Passive leg raising has been used as an endogenous fluid challenge and tested for predicting the hemodynamic response to fluid in patients with acute circulatory failure. This is now easy to perform at the bedside using methods that allow a real time measurement of systolic blood flow. A passive leg raising induced increase in descending aortic blood flow of at least 10% or in echocardiographic subaortic flow of at least 12% has been shown to predict fluid responsiveness. Importantly, this prediction remains very valuable in patients with cardiac arrhythmias or spontaneous breathing activity. CONCLUSIONS: Passive leg raising allows reliable prediction of fluid responsiveness even in patients with spontaneous breathing activity or arrhythmias. This test may come to be used increasingly at the bedside since it is easy to perform and effective, provided that its effects are assessed by a real-time measurement of cardiac output. IS - 4 JF - Intensive care medicine SN - 0342-4642 AD - Service de réanimation médicale, Hôpital de Bicêtre, AP-HP, 78 rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France, xavier.monnet@bct.aphp.fr. EP - 663 TI - Passive leg raising. VL - 34 SP - 659 KW - cardiac KW - circulation KW - fluid KW - icu AU - Monnet, X AU - Teboul, JL PY - 2008/04// UR - http://dx.doi.org/10.1007/s00134-008-0994-y ER -