#163 Passive Leg Raise (PLR) Explained | Fluid Responsiveness & Bedside Tips

The Passive Leg Raise (PLR) test is one of the most reliable and safest ways to assess fluid responsiveness at the bedside — without giving unnecessary IV fluids. By mobilizing ~300–500 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 🧠 Step-by-step guide on how to perform PLR correctly 🛠️ What constitutes a positive PLR response (SV/CO ↑ ≥10–15%) 📊 When PLR is most useful (shock, septic patients, weaning pressors, high-risk fluid cases) ✅ Contraindications and pitfalls 🚫 Evidence base supporting PLR vs. static measures like CVP and IVC ultrasound 📚 Clinical pearls and board-style practice questions 📝

Link to video: https://www.youtube.com/watch?v=x5Y6i62fCc0 

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