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However, in some patients it might be attractive to use a reversible maneuver that mimics a fluid challenge and to assess its hemodynamic consequence directly.
However, it should be noted that only beat-by-beat measurement of SV allows assessment of the response to preload-modifying maneuvers, such as a fluid challenge or passive leg raising (PLR) test.
This study evaluated patients undergoing diagnostic RHC who were subjected to a passive leg raise maneuver (PLR) which mimics a fluid bolus and has been used to assess fluid responsiveness in shock [5].
Fluid challenge was made by de maneuver of passive legs raising (PLR) that mimics a fluid challenge of 300 ml.
A PLR maneuver (45° bed tilt from the 30 to 45° head up) was performed and followed by a fluid challenge (FC, 250 ml fluid bolus over 5 minutes).
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