Article Text

PDF
Commentary
Passive leg raising may serve as the primary method to quickly assess fluid responsiveness in haemodynamically unstable patients
  1. Thomas GV Cherpanath
  1. Correspondence to: Dr Thomas GV Cherpanath, Department of Intensive Care Medicine, University of Amsterdam, Amsterdam 1105AZ, The Netherlands; t.g.cherpanath{at}amc.uva.nl

Statistics from Altmetric.com

Commentary on: OpenUrl

Context

Administration of intravenous fluids still serves as the cornerstone of haemodynamic resuscitation, yet both insufficient as well as overzealous fluid loading can increase morbidity and mortality. Correctly predicting fluid responsiveness is thus of the utmost importance, especially since only half of critically ill patients positively respond to a fluid bolus. Bentzer et al investigated the diagnostic performance of different methods in predicting fluid responsiveness.

Methods

Using MEDLINE and EMBASE, a total of 651 studies were identified investigating different methods to predict fluid responsiveness in haemodynamic unstable patients with refractory hypotension and/or signs of organ hypoperfusion. After exclusion of lower quality studies, trials with ≤20 patients and studies performed in elective cardiothoracic surgery patients, a systematic review and …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.