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https://www.readbyqxmd.com/read/27858374/prediction-of-fluid-responsiveness-an-update
#1
REVIEW
Xavier Monnet, Paul E Marik, Jean-Louis Teboul
In patients with acute circulatory failure, the decision to give fluids or not should not be taken lightly. The risk of overzealous fluid administration has been clearly established. Moreover, volume expansion does not always increase cardiac output as one expects. Thus, after the very initial phase and/or if fluid losses are not obvious, predicting fluid responsiveness should be the first step of fluid strategy. For this purpose, the central venous pressure as well as other "static" markers of preload has been used for decades, but they are not reliable...
December 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27836002/cardiac-dysfunction-induced-by-weaning-from-mechanical-ventilation-incidence-risk-factors-and-effects-of-fluid-removal
#2
Jinglun Liu, Feng Shen, Jean-Louis Teboul, Nadia Anguel, Alexandra Beurton, Nadia Bezaz, Christian Richard, Xavier Monnet
BACKGROUND: Weaning-induced pulmonary oedema (WiPO) is a well-recognised cause of failure of weaning from mechanical ventilation, but its incidence and risk factors have not been reliably described. We wanted to determine the incidence and risk factors in a population of critically ill patients. In addition, we wanted to describe the effects of diuretics when they are administered in this context. METHODS: We monitored 283 consecutive spontaneous breathing trials (SBT; T-piece trial) performed in 81 patients...
November 12, 2016: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/27721980/fluid-responsiveness-prediction-using-vigileo-flotrac-measured-cardiac-output-changes-during-passive-leg-raise-test
#3
Anton Krige, Martin Bland, Thomas Fanshawe
BACKGROUND: Passive leg raising (PLR) is a so called self-volume challenge used to test for fluid responsiveness. Changes in cardiac output (CO) or stroke volume (SV) measured during PLR are used to predict the need for subsequent fluid loading. This requires a device that can measure CO changes rapidly. The Vigileo™ monitor, using third-generation software, allows continuous CO monitoring. The aim of this study was to compare changes in CO (measured with the Vigileo device) during a PLR manoeuvre to calculate the accuracy for predicting fluid responsiveness...
2016: Journal of Intensive Care
https://www.readbyqxmd.com/read/27673307/will-this-hemodynamically-unstable-patient-respond-to-a-bolus-of-intravenous-fluids
#4
Peter Bentzer, Donald E Griesdale, John Boyd, Kelly MacLean, Demetrios Sirounis, Najib T Ayas
IMPORTANCE: Fluid overload occurring as a consequence of overly aggressive fluid resuscitation may adversely affect outcome in hemodynamically unstable critically ill patients. Therefore, following the initial fluid resuscitation, it is important to identify which patients will benefit from further fluid administration. OBJECTIVE: To identify predictors of fluid responsiveness in hemodynamically unstable patients with signs of inadequate organ perfusion. DATA SOURCES AND STUDY SELECTION: Search of MEDLINE and EMBASE (1966 to June 2016) and reference lists from retrieved articles, previous reviews, and physical examination textbooks for studies that evaluated the diagnostic accuracy of tests to predict fluid responsiveness in hemodynamically unstable adult patients who were defined as having refractory hypotension, signs of organ hypoperfusion, or both...
September 27, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27632868/associations-between-functional-and-isolated-performance-measures-in-collegiate-women-s-soccer-players
#5
Ryan S McCann, Kyle B Kosik, Masafumi Terada, Megan Q Beard, Gretchen E Buskirk, Phillip A Gribble
CONTEXT: The Star Excursion Balance Test (SEBT) and Functional Movement Screen (FMS) are functional performance measures capable of predicting lower extremity injury risk. While suboptimal SEBT and FMS performances are influenced by multiple factors, the contribution of hip strength and flexibility to these tests is mostly unknown. Examination of hip strength and flexibility influences on the SEBT and FMS may direct clinicians to better methods of correcting functional deficits. OBJECTIVE: Determine the relationships of isometric hip strength and hip passive range of motion (PROM) with functional performance measures...
August 24, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27601786/physical-performance-of-elite-and-subelite-spanish-female-futsal-players
#6
D J Ramos-Campo, J A Rubio-Arias, M Carrasco-Poyatos, P E Alcaraz
The aim of this study was to determine the parameters distinguishing top female futsal players from lower level players. Twenty-seven female futsal players participated in the study, composed of professional first division (elite; n = 15) players and semi-professional second division players (sub-elite; n = 14). Active and passive straight leg raise tests, isokinetic strength of the knee extensor and flexor muscles at 60° · s(-1) angular velocity, squat and counter movement jumps, 30 m sprint, 30 m agility, repeated sprint ability test and maximum ball speed during shooting were measured...
September 2016: Biology of Sport
https://www.readbyqxmd.com/read/27504619/normal-multiplanar-movement-of-the-spinal-cord-during-unilateral-and-bilateral-straight-leg-raise-quantification-mechanisms-and-overview
#7
Marinko Rade, Michael Shacklock, Mervi Könönen, Jarkko Marttila, Ritva Vanninen, Markku Kankaanpää, Olavi Airaksinen
The purpose of this investigation was to provide a full set of normal data describing neural biomechanics within the vertebral canal in all three planes with unilateral and bilateral SLR tests to allow for clinical comparison with clinical cases. This is done following the notion that, due to neural continuum, tensile forces are transmitted through the lumbosacral nerve roots and dura to the conus medullaris (linear dependency principle). In this controlled radiologic study 10 asymptomatic volunteers were scanned with 1...
August 9, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27472859/acute-effect-of-different-time-periods-of-passive-static-stretching-on-the-hamstring-flexibility
#8
Anelize Cini, Gabriela Souza de Vasconcelos, Claudia Silveira Lima
BACKGROUND: Several factors are associated with the presence of chronic low back pain; one of them is the flexibility of the hamstring muscles that influences the posture of the pelvic spine. OBJECTIVE: Investigate the influence of two different time periods of passive static stretching on the flexibility of the hamstring. METHODS: Forty-six physiotherapy students were divided into two groups performing stretching exercises: 30 s and 60 s duration...
July 21, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27458757/influence-of-static-stretching-on-hamstring-flexibility-in-healthy-young-adults-systematic-review-and-meta-analysis
#9
Diulian M Medeiros, Anelize Cini, Graciele Sbruzzi, Cláudia S Lima
The aim of the current study was to investigate the influence of static stretching on hamstring flexibility in healthy young adults by means of systematic review and meta-analysis. The search strategy included MEDLINE, PEDro, Cochrane CENTRAL, EMBASE, LILACS, and manual search from inception to June 2015. Randomized and controlled clinical trials studies that have compared static stretching to control group, and evaluated range of motion (ROM), were included. On the other hand, studies that have worked with special population such as children, elderly people, athletes, and people with any dysfunction/disease were excluded, as well as articles that have used contralateral leg as control group or have not performed static stretching...
August 2016: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27443327/associations-between-functional-and-isolated-performance-measures-in-collegiate-women-s-soccer-players
#10
Ryan S McCann, Kyle B Kosik, Masafumi Terada, Megan Q Beard, Gretchen E Buskirk, Phillip A Gribble
CONTEXT: The Star Excursion Balance Test (SEBT) and Functional Movement Screen (FMS) are functional performance measures capable of predicting lower extremity injury risk. While suboptimal SEBT and FMS performances are influenced by multiple factors, the contribution of hip strength and flexibility to these tests is mostly unknown. Examination of hip strength and flexibility influences on the SEBT and FMS may direct clinicians to better methods of correcting functional deficits. OBJECTIVE: Determine the relationships of isometric hip strength and hip passive range of motion (PROM) with functional performance measures...
July 21, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27410769/effect-of-high-and-low-flexibility-levels-on-physical-fitness-and-neuromuscular-properties-in-professional-soccer-players
#11
E Rey, A Padrón-Cabo, R Barcala-Furelos, M Mecías-Calvo
This study aimed to analyse the impact of high and low flexibility levels of hamstring and quadriceps muscles on physical fitness and neuromuscular properties in professional soccer players. 62 male professional soccer players participated in this study and performed 2 instrumented flexibility tests (passive straight leg raise [PSLR] and quadriceps flexibility [QF]). Anaerobic performance was assessed using countermovement jump (CMJ), Abalakov vertical jump, 20-m sprint, and Balsom agility test. A k-means cluster analysis was performed to identify a cut-off value of hamstring and quadriceps flexibility and classify players as high hamstring flexibility (HHF) and low hamstring flexibility (LHF) or high quadriceps flexibility (HQF) and low quadriceps flexibility (LQF), respectively, according to the PSLR and QF performances...
October 2016: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/27316915/french-intensive-care-society-international-congress-r%C3%A3-animation-2016
#12
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27307176/assessment-of-fluid-responsiveness-with-end-tidal-carbon-dioxide-using-a-simplified-passive-leg-raising-maneuver-a-prospective-observational-study
#13
Francis Toupin, Ariane Clairoux, Alain Deschamps, Jean-Sébastien Lebon, Yoan Lamarche, Jean Lambert, Annik Fortier, André Y Denault
BACKGROUND: Assessing fluid responsiveness is important in the management of patients with hemodynamic instability. Passive leg raising (PLR) is a validated dynamic method to induce a transient increase in cardiac preload and predict fluid responsiveness. Variations in end-tidal carbon dioxide (ETCO2) obtained by capnography correlate closely with variations in cardiac output when alveolar ventilation and carbon dioxide production are kept constant. In this prospective observational study, we tested the hypothesis that variations in ETCO2 induced by a simplified PLR maneuver can track changes in the cardiac index (CI) and thus predict fluid responsiveness...
September 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27289714/the-passive-leg-raising-test-to-guide-fluid-removal-in-critically-ill-patients
#14
X Monnet, F Cipriani, L Camous, P Sentenac, M Dres, E Krastinova, N Anguel, C Richard, J L Teboul
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
https://www.readbyqxmd.com/read/27257983/intra-examiner-reliability-of-lumbar-spine-and-neuro-dynamic-flexibility-measurements-in-an-older-and-overweight-healthy-asymptomatic-population
#15
Carol Ann Flavell, Susan Gordon, Kerrianne Watt
BACKGROUND: Measurement of lumbar spine movement and neuro-dynamic flexibility is fundamental to clinical examination and forms part of most systems or protocols used to classify patients with low back pain. However, the increased age and body mass index reported in the chronic low back pain subgroup, may compromise the reliability of these measurements. Specifically, this relates to greater soft tissue excursion relative to the underlying bony landmarks used for these clinical tests...
May 27, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27207178/the-passive-leg-raising-test-to-guide-fluid-removal-in-critically-ill-patients
#16
Xavier Monnet, Flora Cipriani, Laurent Camous, Pierre Sentenac, Martin Dres, Evguenia Krastinova, Nadia Anguel, Christian Richard, Jean-Louis Teboul
BACKGROUND: To investigate whether haemodynamic intolerance to fluid removal during intermittent renal replacement therapy (RRT) in critically ill patients can be predicted by a passive leg raising (PLR) test performed before RRT. METHODS: We included 39 patients where intermittent RRT with weight loss was decided. Intradialytic hypotension was defined as hypotension requiring a therapeutic intervention, as decided by the physicians in charge. Before RRT, the maximal increase in cardiac index (CI, pulse contour analysis) induced by a PLR test was recorded...
December 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27167368/the-relationship-between-clinical-instability-and-endurance-tests-pain-and-disability-in-nonspecific-low-back-pain
#17
Carla Vanti, Cristina Conti, Federica Faresin, Silvano Ferrari, Raffaella Piccarreta
OBJECTIVE: The aims of this study were (1) to investigate the relationship between clinical tests detecting spinal instability and the perceived pain and disability in nonspecific low back pain and (2) to investigate the relationship between endurance and instability tests. METHODS: Four instability tests (aberrant movements, active straight leg raising, prone instability test, and passive lumbar extension test) and 2 endurance tests (prone bridge test [PBT] and supine bridge test [SBT]) were performed on 101 participants...
June 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27075962/hamstring-strength-and-flexibility-after-hamstring-strain-injury-a-systematic-review-and-meta-analysis
#18
REVIEW
Nirav Maniar, Anthony J Shield, Morgan D Williams, Ryan G Timmins, David A Opar
OBJECTIVE: To systematically review the evidence base related to hamstring strength and flexibility in previously injured hamstrings. DESIGN: Systematic review and meta-analysis. DATA SOURCES: A systematic literature search was conducted of PubMed, CINAHL, SPORTDiscus, Cochrane Library, Web of Science and EMBASE from inception to August 2015. INCLUSION CRITERIA: Full-text English articles which included studies which assessed at least one measure of hamstring strength or flexibility in men and women with prior hamstring strain injury within 24 months of the testing date...
August 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/26955698/-the-value-of-passive-leg-raising-test-in-predicting-fluid-responsiveness-in-patients-with-sepsis-induced-cardiac-dysfunction
#19
Si Xiang, Huang Muyun, Chen Juan, Ouyang Bin, Chen Minying, Cai Changjie, Wu Jianfeng, Liu Zimeng, Liu Yongjun, Huang Shunwei, Li Lifen, Guan Xiangdong
OBJECTIVE: To assess the value of passive leg raising (PLR) test in predicting fluid responsiveness in patients with sepsis-induced cardiac dysfunction. METHODS: A prospective observational cohort study was conducted. Thirty-eight patients under mechanical ventilation suffering from sepsis-induced cardiac dysfunction admitted to Department of Surgical Intensive Care Unit of First Affiliated Hospital of Sun Yat-Sen University from September 2013 to July 2014 were enrolled...
September 2015: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/26929476/comparison-of-effects-of-static-proprioceptive-neuromuscular-facilitation-and-mulligan-stretching-on-hip-flexion-range-of-motion-a-randomized-controlled-trial
#20
M S Yıldırım, S Ozyurek, Oç Tosun, S Uzer, N Gelecek
The aim of this study was to compare the effects of static stretching, proprioceptive neuromuscular facilitation (PNF) stretching and Mulligan technique on hip flexion range of motion (ROM) in subjects with bilateral hamstring tightness. A total of 40 students (mean age: 21.5±1.3 years, mean body height: 172.8±8.2 cm, mean body mass index: 21.9±3.0 kg · m(-2)) with bilateral hamstring tightness were enrolled in this randomized trial, of whom 26 completed the study. Subjects were divided into 4 groups performing (I) typical static stretching, (II) PNF stretching, (III) Mulligan traction straight leg raise (TSLR) technique, (IV) no intervention...
March 2016: Biology of Sport
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