Leg lift test may help ICU doctors avoid unnecessary fluids
NCT ID NCT06480942
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether changes in pulse pressure during a passive leg raise can predict if a patient needs fluids. Researchers included 39 spontaneously breathing ICU patients with signs of low blood flow. They measured pulse pressure and its variation before and after a leg raise, comparing results to heart ultrasound. The goal was to find a simple, non-invasive way to guide fluid therapy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could give doctors a simple, non-invasive way to decide which ICU patients need fluids, avoiding unnecessary harm.
- What could go wrong
- This is a small, completed study with only 39 patients, so results may not apply to all ICU patients. The method needs more testing before routine use.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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39 people
The number who actually took part.
- Started
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Oct 2023
- Finished
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Mar 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
* Patient over 18 years old. * Hospitalized in intensive care. * For which the clinician in charge of the patient will need to predict the response to fluids and decide on a possible infusion of fluids, because of: * Acute circulatory failure with mean arterial pressure \< 65mmHg or \< 30mmHg of its baseline value for hypertensive patients. * And/or other signs of hemodynamic instability (tachycardia, mottling, oliguria, hyperlactatemia) : * In spontaneous ventilation and without ventilatory assistance. * Previously equipped with an arterial catheter. * Affiliated to a social security scheme.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient over 18 years old. * Hospitalized in intensive care. * For which the clinician in charge of the patient will need to predict the response to fluids and decide on a possible infusion of fluids, because of: * Acute circulatory failure with mean arterial pressure \< 65mmHg or \< 30mmHg of its baseline value for hypertensive patients. * And/or other signs of hemodynamic instability (tachycardia, mottling, oliguria, hyperlactatemia) : * In spontaneous ventilation and without ventilatory assistance. * Previously equipped with an arterial catheter. * Affiliated to a social security scheme. Exclusion Criteria: * Patient with arrythmia (PPV is not applicable). * Patient with intra-abdominal hypertension (PLR test is not valid). * Patient with a contraindication/impossibility to the PLR maneuver (lower limb amputation, respiratory intolerance). * Patient with poor echogenicity noted previously. * Patient protected by law.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Chu Reims
Reims, 51092, France
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Other studies related to the condition(s) this trial covers.
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