PMID: 8594216Oct 1, 1995Paper

SjvO2 monitoring in head-injured patients

Journal of Neurotrauma
C S RobertsonR K Narayan

Abstract

Jugular venous oxygen saturation (SjvO2) measures the balance between cerebral oxygen delivery and cerebral oxygen consumption. Abnormalities that increase oxygen consumption (e.g., fever or seizures) or that decrease oxygen delivery (e.g., increased ICP, hypotension, hypoxia, hypocapnia, or anemia) can decrease SjvO2. Measuring SjvO2 continuously in the ICU in 177 patients with severe head injury, jugular venous desaturation (SjvO2 < 50%) was identified at least once in 39% of the patients. Approximately half of the episodes of desaturation were due to intracranial hypertension and half were due to systemic causes. The occurrence of one or more episodes of desaturation was strongly associated with a poor outcome, suggesting that the reduction in oxygen delivery identified with the SjvO2 monitoring contributed to the neurological injury. In the operating room, jugular venous desaturation was identified in 6 of 8 patients who were monitored during emergency evacuation of a traumatic intracranial hematoma. The lowest SjvO2 observed was 28%. In all 8 cases, the SjvO2 increased, from 47 +/- 10% to 63 +/- 5% after evacuation of the hematoma. Additional data supporting the hypothesis that these secondary insults identified with the S...Continue Reading

References

Jul 1, 1992·Journal of Neurology, Neurosurgery, and Psychiatry·C S RobertsonR G Grossman
Jan 1, 1991·Intensive Care Medicine·M G Goetting, G Preston
Nov 1, 1990·Critical Care Medicine·M G Goetting, G Preston
Jun 1, 1994·Journal of Neurology, Neurosurgery, and Psychiatry·S P GopinathR G Grossman

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Citations

Dec 2, 2000·International Anesthesiology Clinics·A A Bendo, K Luba
Mar 27, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Augusto PérezCarlos A Ciraolo
Apr 17, 2004·International Anesthesiology Clinics·Tod B Sloan
Apr 27, 2005·Anesthesiology·Michael SchmidtUwe Schirmer
Nov 23, 2011·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·W Taylor Kimberly
Nov 5, 1999·Journal of Neurotrauma·M Zwienenberg, J P Muizelaar
Jan 6, 2005·The Neurologist·Michael A De Georgia, Anupa Deogaonkar
Jul 14, 2011·Nature Reviews. Neurology·J Claude HemphillMichael De Georgia
Mar 10, 2011·Current Opinion in Anaesthesiology·Armagan Dagal, Arthur M Lam
Dec 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·O OkoyeD Demetriades
Jun 18, 2016·Current Neurology and Neuroscience Reports·Omar S AkbikHoward Yonas
Sep 12, 2020·Seminars in Respiratory and Critical Care Medicine·Shayan RakhitMayur B Patel
Oct 19, 2002·Current Opinion in Critical Care·Andrew J Johnston, Arun K Gupta
Jun 3, 1998·Journal of Neurosurgery·W D Obrist, N A Martin
May 25, 2007·Intensive Care Medicine·Anuj Bhatia, Arun Kumar Gupta
Mar 27, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Michael J Bell
Sep 20, 2007·Der Anaesthesist·A S SarrafzadehW Boemke
Sep 18, 2012·Critical Care : the Official Journal of the Critical Care Forum·Derek J Roberts, David A Zygun
Feb 8, 2008·Neurocritical Care·Michael J BellSteven Weinstein
Sep 12, 2014·Neurocritical Care·Andrew M NaidechUNKNOWN Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring
Jul 6, 2014·Journal of Neurosurgery·Loyola V GressotShankar P Gopinath
Jan 19, 2013·Current Neurology and Neuroscience Reports·Peter Le Roux
Jun 18, 2016·Critical Care : the Official Journal of the Critical Care Forum·Christophe LelubreFabio Silvio Taccone
Sep 12, 2014·Neurocritical Care·Mauro OddoUNKNOWN Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring
Jan 26, 2005·Intensive Care Medicine·Luciana MasciaAlessandro Ducati
Jan 3, 2013·British Journal of Haematology·Andrew RetterUNKNOWN British Committee for Standards in Haematology
Nov 17, 2007·Journal of Anesthesia·Yasunori HaranishiKaori Yoshitomi
May 24, 2012·Journal of Neurotrauma·Christopher BeynonOliver W Sakowitz
Apr 25, 2012·Current Neurology and Neuroscience Reports·Chad M Miller

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