Carotid artery velocity time integral and corrected flow time measured by a wearable Doppler ultrasound detect stroke volume rise from simulated hemorrhage to transfusion

作者：Jon‐Émile S. Kenny, Igor Barjaktarević, David MacKenzie, Mai Elfarnawany, Zhen Yang, Andrew M. Eibl, Joseph K. Eibl, Chul-Ho Kim, Bruce D. Johnson · 发表于：BMC Research Notes · 年份：2022 · DOI：10.1186/s13104-021-05896-y · 被引用次数：29 · 研究领域：Hemodynamic Monitoring and Therapy、Cardiovascular Health and Disease Prevention、Cerebrovascular and Carotid Artery Diseases

OBJECTIVE: Doppler ultrasonography of the common carotid artery is used to infer stroke volume change and a wearable Doppler ultrasound has been designed to improve this workflow. Previously, in a human model of hemorrhage and resuscitation comprising approximately 50,000 cardiac cycles, we found a strong, linear correlation between changing stroke volume, and measures from the carotid Doppler signal, however, optimal Doppler thresholds for detecting a 10% stroke volume change were not reported. In this Research Note, we present these thresholds, their sensitivities, specificities and areas under their receiver operator curves (AUROC). RESULTS: Augmentation of carotid artery maximum velocity time integral and corrected flowtime by 18% and 4%, respectively, accurately captured 10% stroke volume rise. The sensitivity and specificity for these thresholds were identical at 89% and 100%. These data are similar to previous investigations in healthy volunteers monitored by the wearable ultrasound.