Gepost in: Circulatie

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

In acute circulatory failure, passive leg raising (PLR) is a test that predicts whether cardiac output will increase with volume expansion. By transferring a volume of around 300 mL of venous blood 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, thereby avoiding the risks of fluid overload. This test has the advantage of remaining reliable in conditions in which indices of fluid responsiveness that are based on the respiratory variations of stroke volume cannot be used, like spontaneous breathing, arrhythmias, low tidal volume ventilation, and low lung compliance.




Xavier Monnet and Jean-Louis Teboul


Monnet and Teboul Critical Care (2015) 19:18