scholarly journals Response of NICOM stroke volume to passive leg raising to predict fluid responsiveness in critically ill patients with spontaneous breathing activity

Critical Care ◽  
2010 ◽  
Vol 14 (Suppl 1) ◽  
pp. P113 ◽  
Author(s):  
B Lamia ◽  
A Cuvelier ◽  
PL Declercq ◽  
LC Molano ◽  
MR Pinsky ◽  
...  
Keyword(s):  
Stroke Volume ◽  
Critically Ill ◽  
Fluid Responsiveness ◽  
Critically Ill Patients ◽  
Spontaneous Breathing ◽  
Passive Leg Raising ◽  
Predict Fluid Responsiveness ◽  
Spontaneous Breathing Activity

scholarly journals A novel supplemental maneuver to predict fluid responsiveness in critically ill patients: blood pump-out test performed before renal replacement therapy

2020 ◽  
Vol 8 (12) ◽  
pp. 786-786
Author(s):  
Daozheng Huang ◽  
Huan Ma ◽  
Jie Ma ◽  
Liyan Hong ◽  
Xingji Lian ◽  
...  
Keyword(s):  
Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Critically Ill ◽  
Fluid Responsiveness ◽  
Critically Ill Patients ◽  
Blood Pump ◽  
Predict Fluid Responsiveness

Passive Leg-Raising and Prediction of Fluid Responsiveness: Systematic Review

2017 ◽  
Vol 37 (2) ◽  
pp. 32-47 ◽  
Author(s):  
Joya D. Pickett ◽  
Elizabeth Bridges ◽  
Patricia A. Kritek ◽  
JoAnne D. Whitney
Keyword(s):  
Stroke Volume ◽  
Fluid Responsiveness ◽  
Fluid Administration ◽  
Passive Leg Raising ◽  
Predict Fluid Responsiveness ◽  
Fluid Bolus ◽  
Factors Affecting ◽  
Tissue Hypoperfusion ◽  
Clinically Significant ◽  
Prolong Mechanical Ventilation

Fluid boluses are often administered with the aim of improving tissue hypoperfusion in shock. However, only approximately 50% of patients respond to fluid administration with a clinically significant increase in stroke volume. Fluid overload can exacerbate pulmonary edema, precipitate respiratory failure, and prolong mechanical ventilation. Therefore, it is important to predict which hemodynamically unstable patients will increase their stroke volume in response to fluid administration, thereby avoiding deleterious effects. Passive leg-raising (lowering the head and upper torso from a 45° angle to lying supine [flat] while simultaneously raising the legs to a 45° angle) is a transient, reversible autotransfusion that simulates a fluid bolus and is performed to predict a response to fluid administration. The article reviews the accuracy, physiological effects, and factors affecting the response to passive-leg raising to predict fluid responsiveness in critically ill patients.

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