Passive leg raising does not produce a significant or sustained autotransfusion effect

F. A. Gaffney, B. C. Bastian, E. R. Thal, James M Atkins, C. G. Blomqvist

Research output: Contribution to journalArticle

53 Scopus citations

Abstract

Passive leg raising is widely used to treat hypotension associated with hypovolemia. Presumably gravity causes a central translocation of leg venous blood and an increase in filling pressure, cardiac output, and arterial pressure. Ten healthy volunteers, 25 to 35 years old, had measurements of heart rate, blood pressure, and cardiac output in the supine position after 20 sec and 7 min of 60° passive leg elevation. The protocol was performed 3 and 45 min after the subjects changed from an ambulatory upright to a supine position. Stroke volume and cardiac output increased transiently (8-10%) when the legs were raised after 3 min rest in the supine position. By 7 min of leg elevation, these beneficial effects disappeared. After 45 min supine, leg raising had no effect on stroke volume or cardiac output but increased blood pressure (4 mm Hg) by increasing peripheral resistance (15%). Thus, leg raising, like application of the MAST trousers, fails to produce any sustained increase in cardiac output or stroke volume. Small venous leg volumes and time-dependent changes in the distribution of venous volume and compliance may explain the absence of any sustained 'autotransfusion’ effect.

Original languageEnglish (US)
Pages (from-to)190-193
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume22
Issue number3
DOIs
StatePublished - Mar 1982

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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