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Passive leg raising test with minimally invasive monitoring: the way forward for guiding septic shock resuscitation?

Overview of attention for article published in Journal of Intensive Care, June 2017
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Title
Passive leg raising test with minimally invasive monitoring: the way forward for guiding septic shock resuscitation?
Published in
Journal of Intensive Care, June 2017
DOI 10.1186/s40560-017-0232-1
Pubmed ID
Authors

Patrick M. Honore, Herbert D. Spapen

Abstract

Swift and adequate fluid loading is a cornerstone of septic shock therapy. Yet, careful assessment of volume responsiveness and volume amount during the resuscitation process is a prerequisite. Both overzealous initial fluid administration and late fluid overload are harmful and may be associated with increased mortality. Static (i.e., central venous or pulmonary artery occlusion) pressure readings are erroneous for monitoring fluid resuscitation and should be abandoned. Dynamic measurements (i.e., stroke volume and pulse pressure variation) better predict fluid responsiveness than static filling pressures but the conditions necessary for these parameters to correctly evaluate preload dependency are frequently not met. The passive leg raising maneuver as a means to alter biventricular preload in combination with real-time measurement of cardiac output changes is an easy-to-use, fast, relatively unbiased, and accurate bedside test to guide fluid management and to avoid fluid overload during early septic shock treatment. Moreover, PLR may also be particularly useful to assist various treatments that trigger fluid removal during the "de-resuscitation" phase of septic shock. The passive leg raising maneuver in combination with real-time measurement of cardiac output changes is an easy-to-use, fast, relatively unbiased, and accurate bedside test to guide fluid management during septic shock.

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The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 45 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 45 100%

Demographic breakdown

Readers by professional status Count As %
Other 9 20%
Researcher 7 16%
Student > Master 6 13%
Student > Postgraduate 4 9%
Student > Ph. D. Student 3 7%
Other 8 18%
Unknown 8 18%
Readers by discipline Count As %
Medicine and Dentistry 26 58%
Nursing and Health Professions 7 16%
Agricultural and Biological Sciences 1 2%
Psychology 1 2%
Engineering 1 2%
Other 0 0%
Unknown 9 20%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 June 2017.
All research outputs
#14,067,995
of 22,979,862 outputs
Outputs from Journal of Intensive Care
#343
of 516 outputs
Outputs of similar age
#170,656
of 317,335 outputs
Outputs of similar age from Journal of Intensive Care
#11
of 23 outputs
Altmetric has tracked 22,979,862 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 516 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.8. This one is in the 31st percentile – i.e., 31% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 317,335 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 23 others from the same source and published within six weeks on either side of this one. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.