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Bioreactance-based passive leg raising test can predict fluid responsiveness in elderly patients with septic shock

  
@article{JECCM3684,
	author = {Caibao Hu and Guolong Cai and Jing Yan and Hongjie Tong and Xiaochun Lv and Qianghong Xu and Shangzhong Chen and Huihui Zhang},
	title = {Bioreactance-based passive leg raising test can predict fluid responsiveness in elderly patients with septic shock},
	journal = {Journal of Emergency and Critical Care Medicine},
	volume = {1},
	number = {3},
	year = {2017},
	keywords = {},
	abstract = {Background: Few studies have reported the value of volume responsiveness evaluation on bioreactance-based passive leg raising (PLR) test in elderly patients.This study was carried out to determinate the predictive value of bioreactance-based PLR test for predicting fluid responsiveness (FR) of elderly patients with septic shock, and to compare it to central venous pressure (CVP). 
Methods: This prospective, single-centre study enrolled 50 elderly patients with septic shock from the Department of Critical Care Medicine of Zhejiang Hospital, Hangzhou, China, from October 2012 to October 2015. All patients underwent PLR test and fluid infusion test sequentially. Noninvasive cardiac output monitoring (NICOM) was used to continuously record hemodynamic parameters such as cardiac output (CO), heart rate (HR) and CVP, at baseline 1, PLR, baseline 2, and volume expansion (VE). FR is defined as the change in CO (ΔCO) ≥10% after the fluid infusion test.  
Results: CO clearly increased after PLR and VE (5.21±2.34 vs. 6.03±2.73, P},
	issn = {2521-3563},	url = {https://jeccm.amegroups.org/article/view/3684}
}