The Effect of Passive Leg Raising towards Hemodynamics on Patient with Hypovolemic Shock at the Emergency Ward of Dustira Cimahi Hospital
One of the conditions needing immediate response in the emergency ward is hypovolemic shock. The patient in shock requires close monitoring for clinical signs and hemodynamic status and intravascular status. It is due to circulatory assistance and medication provision on the patient is given based on the accuracy of the intravascular volume status of the patient. Fluid responsiveness can be considered as basis for considering administering fluid only or inotropic and vasopressor medication for the patient to maintain her circulatory homeostatic. Passive Leg Raising (PLR) may be a reversible method to evaluate fluid responsiveness. The study aims at evaluating the effect of PLR on hemodynamic. It employs the quasi-experimental design with the within subject repeated measurement design approach. 48 respondents took part as samples, with the consecutive sampling method implemented. The samples were then categorized into responsive and non-responsive groups based on the increase of pulse pressure amounting to or beyond 9% during PLR implementation. The data was tested using the dependent and independent t test to provide analysis for uni-variate and bivariate data. The results indicated that 34 respondents belonged to the responsive group while 14 respondents were categorized as non-responsive. There was a significant relationship between PLR and hemodynamic parameters of systolic blood pressure, diastolic blood pressure, mean arterial pressure, and pulse pressure (p>0.05). It implied that PLR may be used as an evaluation method for fluid responsiveness on patients with hypovolemic shock.