被動抬腿試驗預測容量反應性的最新研究進展_West China Medical Journal

Authors：

 胡志 , 陸玫竹 , 黃程 , 金曉東

四川大學華西醫院重癥醫學科（成都 610041）;

Corresponding?author：

Keywords：

容量反應性; 被動抬腿試驗; 危重病患者

DOI：

10.7507/1002-0179.20150225

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在重癥患者的循環支持中，容量狀態的判斷非常重要。靜態指標及動態指標易受多種因素的影響，容量負荷試驗安全性較差，在臨床實施時均有一定局限性。被動抬腿試驗預測容量反應性具有簡單、快速、安全、受干擾小等特點，在不增加患者全身容量的基礎上，可以迅速判斷患者容量反應性。近年來將被動抬腿試驗與其他血流動力學監測手段相結合，逐漸成為研究容量反應性的熱點。

Citation： 胡志, 陸玫竹, 黃程, 金曉東. 被動抬腿試驗預測容量反應性的最新研究進展. West China Medical Journal, 2015, 30(4): 790-792. doi: 10.7507/1002-0179.20150225 Copy

1.	Monnet X, Teboul JL. Passive leg raising[J]. Intensive Care Med, 2008, 34(6):659-663.
2.	Cherpanath T, Geerts BF, Lagrand WK, et al. Basic concepts of fluid responsiveness[J]. Neth Heart J, 2013, 21(12):530-536.
3.	Broch O, Renner J, Gruenewald M, et al. Variation of left ventricular outflow tract velocity and global end-diastolicvolum index reliably predict fluid responsiveness in cardiac surgery patients[J]. J Crit Care, 2012, 27(325):e7-e13.
4.	Marik PE, Cavallazzi R, Vasu T, et al. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients:a systematic review of the literature[J]. Crit Care Med, 2009, 37(9):2642-2647.
5.	Geerts B, De Wilde R, Aarts L, et al. Pulse contour analysis to assess hemodynamic response to passive leg raising[J]. J Cardiothorac Vasc Anesth, 2011, 25(1):48-52.
6.	Jabot J, Teboul JL, Richard C, et al. Passive leg raising for predicting fluid responsiveness:importance of the postural change[J]. Intensive Care Med, 2009, 35(1):85-90.
7.	Kyriakides ZS, Koukoulas A, Paraskevaidis IA, et al. Does passive leg raising increase cardiac-performance? A study using Doppler-echocardiography[J]. Int J Cardiol, 1994, 44(3):288-293.
8.	Paelinck BP, Van Eck J, De Hert SG, et al. Effects of postural changes on cardiac function in healthy subjects[J]. Eur J Echocardiogr, 2003, 4(3):196-201.
9.	Boulain T, Achard JM, Teboul JL, et al. Changes in BP induced by passive leg raising predict response to fluid loading in critically ill patients[J]. Chest, 2002, 121(4):1245-1252.
10.	Caille V, Jabot J, Belliard G, et al. Hemodynamic effects of passive leg raising:an echocardiographic study in patients with shock[J]. Intensive Care Med, 2008, 34(7):1239-1245.
11.	Biais M, Vidil L, Sarrabay P, et al. Changes in stroke volume induced by passive leg raising in spontaneously breathing patients:comparison between echocardiography and Vigileo (TM)/FloTrac (TM) device[J]. Critical Care, 2009, 13(6):R195.
12.	Gaffney F, Bastian B, Thal E, et al. Passive leg raising does not produce a significant or sustained autotransfusion effect[J]. J Trauma, 1982, 22(3):190-193.
13.	Thiel SW, Kollef MH, Isakow W, et al. Non-invasive stroke volume measurement and passive leg raising predict volume responsiveness in medical ICU patients:an observational cohort study[J]. Crit Care, 2009, 13(4):R111.
14.	Preau S, Saulnier F, Dewavrin F, et al. Passive leg raising is predictive of fluid responsiveness in spontaneously breathing patients with severe sepsis or acute pancreatitis[J]. Crit Care Med, 2010, 38(3):819-825.
15.	Levitov, A, Marik PE. Echocardiographic assessment of preload responsiveness in critically ill patients[J]. Cardiol Res Pract, 2012, 2012:819696.
16.	Mandeville JC, Colebourn CL. Can transthoracic echocardiography be used to predict fluid responsiveness in the critically ill patient? A systematic review[J]. Crit Care Res Pract, 2012, 2012:513480.
17.	Chemla D, Hebert JL, Coirault C, et al. Total arterial compliance estimated by stroke volume to aortic pulse pressure ratio in humans[J]. Am J Physiol Heart Circ Physiol, 1998, 274(2):H500-H505.
18.	Monnet X, Picard F, Lidzborski E, et al. The estimation of cardiac output by the Nexfin device is of poor reliability for tracking the effects of a fluid challenge[J]. Crit Care, 2012, 16(5):R212.
19.	Hamzaoui O, Monnet X, Richard C, et al. Effects of changes in vascular tone on the agreement between pulse contour and transpulmonary thermodilution cardiac output measurements within an up to 6-hour calibration-free period[J]. Crit Care Med, 2008, 36(2):434-440.
20.	Monnet X, Rienzo M, Osman D, et al. Passive leg raising predicts fluid responsiveness in the critically ill[J]. Crit Care Med, 2006, 34(5):1402-1407.
21.	Teboul JL, Monnet X. Prediction of volume responsiveness in critically ill patients with spontaneous breathing activity[J]. Curr Opin Crit Care, 2008, 14(3):334-339.
22.	Monnet X, Bataille A, Magalhaes E, et al. End-tidal carbon dioxide is better than arterial pressure for predicting volume responsiveness by the passive leg raising test[J]. Intensive Care Med, 2013, 39(1):93-100.
23.	Monge Garcia MI, Gil Cano A, Gracia Romero M, et al. Non-invasive assessment of fluid responsiveness by changes in partial end-tidal CO₂ pressure during a passive leg-raising maneuver[J]. Ann Intensive Care, 2012, 2:9.
24.	Mahjoub Y, Touzeau J, Airapetian N, et al. The passive leg-raising maneuver cannot accurately predict fluid responsiveness in patients with intra-abdominal hypertension[J]. Crit Care Med, 2010, 38(9):1824-1829.

1. Monnet X, Teboul JL. Passive leg raising[J]. Intensive Care Med, 2008, 34(6):659-663.
2. Cherpanath T, Geerts BF, Lagrand WK, et al. Basic concepts of fluid responsiveness[J]. Neth Heart J, 2013, 21(12):530-536.
3. Broch O, Renner J, Gruenewald M, et al. Variation of left ventricular outflow tract velocity and global end-diastolicvolum index reliably predict fluid responsiveness in cardiac surgery patients[J]. J Crit Care, 2012, 27(325):e7-e13.
4. Marik PE, Cavallazzi R, Vasu T, et al. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients:a systematic review of the literature[J]. Crit Care Med, 2009, 37(9):2642-2647.
5. Geerts B, De Wilde R, Aarts L, et al. Pulse contour analysis to assess hemodynamic response to passive leg raising[J]. J Cardiothorac Vasc Anesth, 2011, 25(1):48-52.
6. Jabot J, Teboul JL, Richard C, et al. Passive leg raising for predicting fluid responsiveness:importance of the postural change[J]. Intensive Care Med, 2009, 35(1):85-90.
7. Kyriakides ZS, Koukoulas A, Paraskevaidis IA, et al. Does passive leg raising increase cardiac-performance? A study using Doppler-echocardiography[J]. Int J Cardiol, 1994, 44(3):288-293.
8. Paelinck BP, Van Eck J, De Hert SG, et al. Effects of postural changes on cardiac function in healthy subjects[J]. Eur J Echocardiogr, 2003, 4(3):196-201.
9. Boulain T, Achard JM, Teboul JL, et al. Changes in BP induced by passive leg raising predict response to fluid loading in critically ill patients[J]. Chest, 2002, 121(4):1245-1252.
10. Caille V, Jabot J, Belliard G, et al. Hemodynamic effects of passive leg raising:an echocardiographic study in patients with shock[J]. Intensive Care Med, 2008, 34(7):1239-1245.
11. Biais M, Vidil L, Sarrabay P, et al. Changes in stroke volume induced by passive leg raising in spontaneously breathing patients:comparison between echocardiography and Vigileo (TM)/FloTrac (TM) device[J]. Critical Care, 2009, 13(6):R195.
12. Gaffney F, Bastian B, Thal E, et al. Passive leg raising does not produce a significant or sustained autotransfusion effect[J]. J Trauma, 1982, 22(3):190-193.
13. Thiel SW, Kollef MH, Isakow W, et al. Non-invasive stroke volume measurement and passive leg raising predict volume responsiveness in medical ICU patients:an observational cohort study[J]. Crit Care, 2009, 13(4):R111.
14. Preau S, Saulnier F, Dewavrin F, et al. Passive leg raising is predictive of fluid responsiveness in spontaneously breathing patients with severe sepsis or acute pancreatitis[J]. Crit Care Med, 2010, 38(3):819-825.
15. Levitov, A, Marik PE. Echocardiographic assessment of preload responsiveness in critically ill patients[J]. Cardiol Res Pract, 2012, 2012:819696.
16. Mandeville JC, Colebourn CL. Can transthoracic echocardiography be used to predict fluid responsiveness in the critically ill patient? A systematic review[J]. Crit Care Res Pract, 2012, 2012:513480.
17. Chemla D, Hebert JL, Coirault C, et al. Total arterial compliance estimated by stroke volume to aortic pulse pressure ratio in humans[J]. Am J Physiol Heart Circ Physiol, 1998, 274(2):H500-H505.
18. Monnet X, Picard F, Lidzborski E, et al. The estimation of cardiac output by the Nexfin device is of poor reliability for tracking the effects of a fluid challenge[J]. Crit Care, 2012, 16(5):R212.
19. Hamzaoui O, Monnet X, Richard C, et al. Effects of changes in vascular tone on the agreement between pulse contour and transpulmonary thermodilution cardiac output measurements within an up to 6-hour calibration-free period[J]. Crit Care Med, 2008, 36(2):434-440.
20. Monnet X, Rienzo M, Osman D, et al. Passive leg raising predicts fluid responsiveness in the critically ill[J]. Crit Care Med, 2006, 34(5):1402-1407.
21. Teboul JL, Monnet X. Prediction of volume responsiveness in critically ill patients with spontaneous breathing activity[J]. Curr Opin Crit Care, 2008, 14(3):334-339.
22. Monnet X, Bataille A, Magalhaes E, et al. End-tidal carbon dioxide is better than arterial pressure for predicting volume responsiveness by the passive leg raising test[J]. Intensive Care Med, 2013, 39(1):93-100.
23. Monge Garcia MI, Gil Cano A, Gracia Romero M, et al. Non-invasive assessment of fluid responsiveness by changes in partial end-tidal CO₂ pressure during a passive leg-raising maneuver[J]. Ann Intensive Care, 2012, 2:9.
24. Mahjoub Y, Touzeau J, Airapetian N, et al. The passive leg-raising maneuver cannot accurately predict fluid responsiveness in patients with intra-abdominal hypertension[J]. Crit Care Med, 2010, 38(9):1824-1829.

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被動抬腿試驗預測容量反應性的最新研究進展

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