Abstract
The measurement of cerebral venous oxygen content obtained by jugular bulb catheterization (JBC) allows bedside assessment of adequacy of cerebral blood flow. The usual technique for JBC is by direct internal jugular vein (IJ) puncture and cannulation. Neck swelling from soft tissue injury, subcutaneous emphysema, burns or infection, spine trauma, and severe coagulopathy all are relative contraindications to direct IJ cannulation. Direct IJ puncture may prove difficult for the inexperienced operator in very small infants. We devised the transcardiac method via the femoral vein (FV) for the JBC (TCJBC) for the above conditions.
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References
Kanter RK, Zimmerman JJ et al. (1986) Central venous catheter insertion by femoral vein: Safety and effectiveness for the pediatric patient. Pediatrics 77: 842–47
Stenzel JP, Carlson PE et al. (1987) Complications of femoral venous catheters in a pediatric population: Prospective study. Crit Care Med 15: 359
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© 1989 Springer-Verlag Berlin Heidelberg
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Goetting, M.G., Preston, G. (1989). Transcardiac Method of Jugular Bulb Catheterization. In: Hoff, J.T., Betz, A.L. (eds) Intracranial Pressure VII. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73987-3_32
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DOI: https://doi.org/10.1007/978-3-642-73987-3_32
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-73989-7
Online ISBN: 978-3-642-73987-3
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