Background: The change in the corrected flow time of the common carotid
artery (ccFT) has been used as a surrogate of changing stroke
volume (SV) in the critically-ill. Thus, this relatively
easy-to-obtain Doppler measure may help clinicians better define the intended
effect of intravenous fluids. Yet the temporal evolution of SV and
ccFT has not been reported in volunteers undergoing a passive leg
raise (PLR). Methods: We recruited clinically-euvolemic, non-fasted,
adult, volunteers in a local physiology lab to perform 2 PLR maneuvers, each
separated by a 5 minute ‘wash-out’. During each PLR, SV was measured by a
non-invasive pulse contour analysis device. SV was temporally-synchronized with a
wireless, wearable Doppler ultrasound worn over the common carotid artery that
continuously measured ccFT. Results: 36 PLR maneuvers were obtained
across 19 ambulatory volunteers. 8856 carotid Doppler cardiac cycles were
analyzed. The ccFT increased nearly ubiquitously during the PLR and within 40–60
seconds of PLR onset; the rise in SV from the pulse contour device was more
gradual. SV by +5% and +10% were both detected by a +7%
ccFT with sensitivities, specificities and areas under the
receiver operator curve of 59%, 95% and 0.77 (p 0.001) and 66%,
76% and 0.73 (p 0.001), respectively. Conclusions: The
ccFT during the PLR in ambulatory volunteers was rapid and
sustained. Within the limits of precision for detecting a clinically-significant
rise in SV by a non-invasive pulse contour analysis device,
simultaneously-acquired ccFT from a wireless, wearable ultrasound system was
accurate at detecting ‘preload responsiveness’.