Abstract
The authors' first examinations of 10 patients with severe hemispheric stroke indicate that bedside monitoring of cerebral blood flow (CBF) is of clinical value as a prognostic tool for outcome and as therapy of elevated intracranial pressure (ICP). Jugular venous oximetry, which is easier to handle and provides on-line data, may also be of prognostic value in patients with ischemic stroke. No clinical studies are available on patients with hemispheric infarctions. Therefore, in a second data analysis from the same patient population, the authors' objective was to estimate the clinical value of monitoring cerebral hemodynamics and metabolism with jugular bulb catheters in treatment of severe postischemic brain edema. In 10 patients with severe hemispheric infarctions, ICP, jugular venous oxygen saturation (SjvO2), CBF, and cerebral metabolic rate of oxygen (CMRO2) were measured prospectively. A total of 101 ICP, SjvO2, and 92 CBF measurements were obtained. Only two SjvO2 values were below the critical thresholds to detect secondary ischemic events defined in trauma patients (SjvO2 < 50%). Intracranial pressure elevations more than 20 mm Hg and pupillary disturbances were treated with osmotherapy (mannitol or hypertonic NaCl hy...Continue Reading
References
Feb 1, 1992·Journal of Neurosurgery·M SheinbergR G Grossman
Nov 1, 1991·British Journal of Anaesthesia·P J AndrewsJ D Miller
Nov 1, 1991·Neurosurgery·J CruzT A Gennarelli
Nov 1, 1990·Journal of Neurosurgery·J CruzT A Gennarelli
Oct 1, 1989·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·M Jakobsen, E Enevoldsen
Feb 1, 1989·Journal of Neurosurgery·C S RobertsonE Allen
Nov 1, 1981·Stroke; a Journal of Cerebral Circulation·J AstrupL Symon
May 1, 1983·Stroke; a Journal of Cerebral Circulation·W D Heiss
Jul 1, 1995·Intensive Care Medicine·J G van der HoevenA E Meinders
Jun 1, 1995·Stroke; a Journal of Cerebral Circulation·D E SaundersM M Brown
Jun 1, 1994·Journal of Neurology, Neurosurgery, and Psychiatry·S P GopinathR G Grossman
Jan 1, 1994·Neurosurgery·N StocchettiP Zuccoli
Aug 1, 1993·Critical Care Medicine·J CruzO J Hoffstad
Oct 1, 1995·Intensive Care Medicine·W HackeS Schwab
Oct 1, 1995·Journal of Neurotrauma·C S RobertsonR K Narayan
Aug 1, 1996·Neurology·S SchwabW Hacke
Apr 1, 1996·Archives of Neurology·W HackeR von Kummer
Nov 22, 1997·Stroke; a Journal of Cerebral Circulation·A D FirlikH Yonas
Sep 10, 1998·Stroke; a Journal of Cerebral Circulation·S SchwabW Hacke
Oct 15, 1998·Anaesthesia·S C BeardsA Jackson
Dec 4, 1998·Stroke; a Journal of Cerebral Circulation·S SchwabW Hacke
Feb 26, 2000·Anesthesiology·G J WietaschA Hoeft
Mar 9, 2000·Critical Care Medicine·E KellerW Hacke
Citations
Oct 22, 2003·NeuroImage·Emanuela KellerPeter Niederer
Apr 10, 2014·Neurocritical Care·F A ZeilerM West
Jun 15, 2013·Stroke Research and Treatment·Vineeta Singh, Nancy J Edwards
Sep 12, 2014·Neurocritical Care·Mauro OddoUNKNOWN Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring
Dec 21, 2006·Acta neurochirurgica·U BuschmannE Keller
Feb 4, 2006·British Journal of Neurosurgery·J HillmanP Mellergård
Sep 13, 2018·Journal of Intensive Care Medicine·Fawaz Al-MuftiKiwon Lee
Jun 4, 2016·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·David J RohJan Claassen
Apr 18, 2020·Immunological Medicine·Fang He, Yoshinori Matsumoto
Aug 7, 2007·British Journal of Neurosurgery·P SturnegkJ Hillman
Apr 1, 2020·Neurocritical Care·Aaron M CookLori Shutter