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The Passive Leg Raise (PLR) test is one of the most reliable and safest ways to assess fluid responsiveness at the bedside β without giving unnecessary IV fluids. By mobilizing ~300β500 mL of venous blood centrally, PLR provides a reversible preload challenge that can guide resuscitation in critically ill patients.
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In this episode, we cover: What the Passive Leg Raise test is and how it works π§ Step-by-step guide on how to perform PLR correctly π οΈ What constitutes a positive PLR response (SV/CO β β₯10β15%) π When PLR is most useful (shock, septic patients, weaning pressors, high-risk fluid cases) β Contraindications and pitfalls π« Evidence base supporting PLR vs. static measures like CVP and IVC ultrasound π Clinical pearls and board-style practice questions π
Link to video: https://www.youtube.com/watch?v=x5Y6i62fCc0Β
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