The Passive Leg Raise Test to Predict Fluid Responsiveness in Children -Preliminary Observations
Male
Resuscitation
Diagnostic Techniques, Cardiovascular
Hemodynamics
India
Reproducibility of Results
Shock
Risk Assessment
3. Good health
03 medical and health sciences
0302 clinical medicine
Heart Rate
Child, Preschool
Fluid Therapy
Humans
Female
Prospective Studies
Cardiac Output
Child
Monitoring, Physiologic
DOI:
10.1007/s12098-013-1303-5
Publication Date:
2013-12-10T06:47:18Z
AUTHORS (6)
ABSTRACT
To assess whether the passive leg raising (PLR) test can predict fluid responsiveness in pediatric patients.This was a prospective observational study in a tertiary care pediatric center. Hemodynamic parameters including heart rate, stroke volume and cardiac output were assessed at baseline, after passive leg raising (PLR), at second baseline, and after volume loading (10 mL/kg normal saline in 10 min). Cutoff values of 7.5 and 10 % increase in cardiac index (CI) with passive leg raising were explored as predictors of volume loading response.Overall, the changes in CI with passive leg raising varied widely and was a poor predictor of response to volume loading in children under 5 years of age. Of 40 patients, 23 had greater than 10 % increase in CI with PLR which predicted fluid responsiveness with a sensitivity of 94 % (95 % confidence interval 71,100) and specificity of 26 % (95 % confidence interval 10,48). Sensitivity was higher (100 % vs. 91 %) and specificity similar (27 % vs. 25 %) in predicting CI for those over 5 as compared to under 5 y, respectively. In patients over 5 y, simple linear regression revealed a positive correlation (R(2) = 21) while R(2) values were much lower (0-0.07) for those under 5 y.Cardiac index changes after PLR varies widely in children and may be a poor predictor to volume loading in children under 5-y-old. However, in those over 5 y, PLR may be helpful in predicting fluid responsiveness in pediatric patients.
SUPPLEMENTAL MATERIAL
Coming soon ....
REFERENCES (30)
CITATIONS (16)
EXTERNAL LINKS
PlumX Metrics
RECOMMENDATIONS
FAIR ASSESSMENT
Coming soon ....
JUPYTER LAB
Coming soon ....