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Passive leg raising: five rules, not a drop of fluid!

Year: 2015
Type: editorial
Abstract: test that predicts whether cardiac output will increase with volume expansion [1]. By transferring a volume of around 300 mL of venous blood [2] from the lower body toward the right heart, PLR mimics a fluid challenge. However, no fluid is infused and the hemodynamic effects are rapidly reversible [1,3], thereby avoiding the risks of fluid overload. This test has the advantage of remaining reliable in conditions in which indices of fluid responsive-ness that are based on the respiratory variations of stroke volume cannot be used [1], like spontaneous breathing, arrhythmias, low tidal volume ventilation, and low lung compliance. The method for performing PLR is of the utmost importance because it fundamentally affects its hemody-namic effects and reliability. In practice, five rules should
Language: English
Subfield: Surgery
Field: Medicine
Open Access status: gold
Estimated APC paid: $4,190
OpenAlex ID: W2157976364
Cites: 12
Cited by: 444
Related to: 8