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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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Saturday, March 21, 2015

Respuesta a fluidos

Critical Care Practicioner - By Jonathan Downham - January 14, 2015
"My good friend Gavin Denton has once again surpassed himself in analysing some of the evidence for the passive leg raise.

The bottom line.
  • Half of patients who have signs of haemodynamic compromise will not be fluid responsive.
  • Measuring the difference in stroke volume or cardiac before and after a passive leg raise is a highly sensitive and specific test of fluid responsiveness.
  • The mode of cardiac output monitoring probably does not matter as it is the percentage change that is important rather than a specific number."
http://www.jonathandownham.com/gavin-raises-legs/