The passive leg-raising maneuver cannot accurately predict fluid responsiveness in patients with intra-abdominal hypertension

Critical Care Medicine
Yazine MahjoubHerve Dupont

Abstract

The passive leg-raising maneuver is a reversible fluid-loading procedure used to predict fluid responsiveness in mechanically ventilated patients. The aim of the present study was to determine whether intra-abdominal hypertension (which impairs venous return) reduces the ability of passive leg raising to detect fluid responsiveness in critically ill ventilated patients. A prospective study. The medical and surgical intensive care unit of a university medical center. Forty-one mechanically ventilated patients with a pulse pressure variation of >12%. Stroke volume was continuously monitored by esophageal Doppler. Intra-abdominal pressure was measured via bladder pressure. After a passive leg-raising maneuver and a return to baseline, fluid loading with 500 mL of saline was performed. Hemodynamic parameters were recorded at each step. Nonresponders to volume loading were not analyzed (10 patients). Thirty-one patients were classified into two groups according to their response to passive leg raising: responders to passive leg raising (at least a 12% increase in stroke volume) and nonresponders to passive leg raising. Sixteen patients (52%) were responders to passive leg raising, and 15 (48%) were nonresponders to passive leg raisi...Continue Reading

References

Dec 1, 1990·Journal of Applied Physiology·M TakataJ L Robotham
May 1, 1989·Critical Care Medicine·M SingerE D Bennett
Oct 1, 1985·Critical Care Medicine·J L RobothamB Bromberger-Barnea
Mar 1, 1981·The Journal of Surgical Research·J KashtanJ W Holcroft
May 16, 1998·Journal of the American College of Surgeons·M L Cheatham, K Safcsak
Jul 9, 1998·American Journal of Respiratory and Critical Care Medicine·B ValtierD M Payen
May 8, 1999·Journal of Applied Physiology·Y KitanoK Miyasaka
Mar 14, 2000·Acta Anaesthesiologica Scandinavica·J P TournadreD Chassard
Jul 21, 2000·American Journal of Respiratory and Critical Care Medicine·F MichardJ L Teboul
Feb 6, 2004·Intensive Care Medicine·Manu L N G MalbrainLuciano Gattinoni
Mar 17, 2006·Critical Care Medicine·Xavier MonnetJean-Louis Teboul
Apr 6, 2006·British Journal of Anaesthesia·E VivierJ P Viale
Sep 15, 2006·Critical Care : the Official Journal of the Critical Care Forum·A LafanechèreA Cariou
May 18, 2007·Intensive Care Medicine·Julien MaizelMichel Slama
Mar 21, 2008·Intensive Care Medicine·Vincent CailleAntoine Vieillard-Baron
Sep 17, 2008·Intensive Care Medicine·Julien JabotXavier Monnet
Mar 28, 2009·Critical Care Medicine·Manu L N G Malbrain, Inneke de Laet

❮ Previous
Next ❯

Citations

Dec 12, 2012·Intensive Care Medicine·Clément BrunMarc Leone
Oct 31, 2013·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·T G V CherpanathA B J Groeneveld
Oct 12, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Francis ToupinAlain Deschamps
Aug 25, 2012·Critical Care Research and Practice·Adil Shujaat, Abubakr A Bajwa
Sep 16, 2011·Cardiology Research and Practice·Alexander Levitov, Paul E Marik
Mar 29, 2012·Cardiology Research and Practice·Stephen J Huang, Anthony S McLean
Sep 13, 2011·Annals of Intensive Care·Paul E MarikJean-Louis Teboul
Jun 30, 2012·Annals of Intensive Care·Hafid Ait-OufellaBertrand Guidet
Mar 28, 2012·Annals of Intensive Care·Manuel Ignacio Monge GarcíaJuan Carlos Díaz Monrové
Apr 5, 2011·Critical Care : the Official Journal of the Critical Care Forum·Benoit Tavernier, Emmanuel Robin
Jan 30, 2013·Critical Care : the Official Journal of the Critical Care Forum·Azriel PerelMichael Sander
Jan 21, 2011·Critical Care : the Official Journal of the Critical Care Forum·Didier JacquesJean-Paul Viale
Apr 2, 2015·Anaesthesia Critical Care & Pain Medicine·Marc-Olivier FischerUNKNOWN Atlanrea groups
Jun 3, 2014·Critical Care : the Official Journal of the Critical Care Forum·Yunfan WuBao Liu
Dec 2, 2014·Critical Care Clinics·Michael R Pinsky
Sep 29, 2011·Journal of Clinical Monitoring and Computing·Geoffray KellerJean-Jacques Lehot
Sep 10, 2013·Best Practice & Research. Clinical Anaesthesiology·Laurent GuerinJean-Louis Teboul
Sep 10, 2013·Best Practice & Research. Clinical Anaesthesiology·Manu L N G MalbrainAndrew W Kirkpatrick
Jan 31, 2016·Intensive Care Medicine·Xavier MonnetJean-Louis Teboul
Jun 12, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Thomas G V CherpanathBart F Geerts
Apr 2, 2013·Medicina intensiva·E Maraví PomaUNKNOWN Grupo de Trabajo CC – Recomendaciones PAPG 2012, GTEI-SEMICYUC
Apr 21, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·B Tavernier, A Ouattara
Mar 15, 2012·The Surgical Clinics of North America·Koen AmelootManu L N G Malbrain
Jan 23, 2016·BioMed Research International·Jan BenesXavier Monnet
Feb 1, 2012·Acta Anaesthesiologica Scandinavica·L Ø HøisethK A Kirkebøen
Nov 26, 2015·Critical Care : the Official Journal of the Critical Care Forum·Laurent GuérinXavier Monnet
Mar 27, 2015·Intensive Care Medicine·Michael R Pinsky
Feb 7, 2015·Critical Care : the Official Journal of the Critical Care Forum·Xavier Monnet, Jean-Louis Teboul
Nov 13, 2012·Journal of Critical Care·Bernd SaugelWolfgang Huber
Sep 30, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Marc-Olivier FischerJean-Luc Fellahi
Dec 7, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Andre L Holder, Michael R Pinsky
May 4, 2016·The American Journal of the Medical Sciences·John Terrill HugginsDon C Rockey
Apr 17, 2016·Anaesthesia Critical Care & Pain Medicine·Marc-Olivier FischerUNKNOWN French Hemodynamic Team
Jun 17, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Francis ToupinAndré Y Denault
Sep 7, 2016·Critical Care : the Official Journal of the Critical Care Forum·John H BoydMichel Slama
Sep 23, 2016·American Journal of Respiratory and Critical Care Medicine·Philippe VignonAntoine Vieillard-Baron
Mar 23, 2017·Current Opinion in Critical Care·Jaume MesquidaRicard Ferrer
May 26, 2017·Current Opinion in Critical Care·Simon T Vistisen, Peter Juhl-Olsen
Nov 19, 2017·Critical Care : the Official Journal of the Critical Care Forum·Sam OrdeAnthony McLean
Nov 18, 2017·Journal of Clinical Monitoring and Computing·Marko ZlicarMaurizio Cecconi

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.