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Intensive Care Medicine
Published in: Intensive Care Medicine 4/2008

01-04-2008 | Clinical Commentary

Passive leg raising

Authors: Xavier Monnet, Jean-Louis Teboul

Published in: Intensive Care Medicine | Issue 4/2008

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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.
Appendix
Available only for authorised users
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Metadata
Title
Passive leg raising
Authors
Xavier Monnet
Jean-Louis Teboul
Publication date
01-04-2008
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 4/2008
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-008-0994-y

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