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Role of Jugular Venous Oxygen Saturation in Neuroanesthesia

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Neuroanesthesia and Cerebrospinal Protection

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Abstract

Although it is difficult to directly evaluate cerebral blood flow (CBF) and cerebral metabolism in patients that are at a risk of cerebral ischemia, measuring jugular venous oxygen saturation (SjvO2) allows clinicians to determine the relationship between them [1, 2]. Catheters containing optical fibers are used for continuous SjvO2 monitoring, and it was found that normal SjvO2 values range from 55 to 75 % [3–5]. Low SjvO2 levels are indicative of an increase in cerebral metabolism relative to CBF or of ischemia or hypoperfusion, which induces decreases in CBF relative to cerebral metabolism. In contrast, high SjvO2 levels indicate either a decrease in cerebral metabolism relative to CBF or hyperemia, which induces increases in CBF relative to cerebral metabolism. As SjvO2 is influenced by respiratory and circulatory dynamics, metabolic factors, the hemoglobin concentration, arterial carbon dioxide partial pressure, and arterial oxygen partial pressure, these factors must be considered when interpreting fluctuations in SjvO2 levels. In this chapter, the usefulness of SjvO2 monitoring, the significance of abnormal SjvO2 levels, and relevant countermeasures are reviewed.

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Authors and Affiliations

  1. Department of Anesthesiology, Kurume University School of Medicine, 67 Asahi-machi, Kurume-shi, Fukuoka-ken, 830-0011, Japan

    Teruyuki Hiraki & Kazuo Ushijima

Authors
  1. Teruyuki Hiraki
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  2. Kazuo Ushijima
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Correspondence to Kazuo Ushijima .

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Editors and Affiliations

  1. Tokyo Medical University, Tokyo, Japan

    Hiroyuki Uchino

  2. Kurume University, Fukuoka, Fukuoka, Japan

    Kazuo Ushijima

  3. Tokyo Medical University Hachioji Medical Center, Tokyo, Tokyo, Japan

    Yukio Ikeda

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Hiraki, T., Ushijima, K. (2015). Role of Jugular Venous Oxygen Saturation in Neuroanesthesia. In: Uchino, H., Ushijima, K., Ikeda, Y. (eds) Neuroanesthesia and Cerebrospinal Protection. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54490-6_16

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  • DOI: https://doi.org/10.1007/978-4-431-54490-6_16

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54489-0

  • Online ISBN: 978-4-431-54490-6

  • eBook Packages: MedicineMedicine (R0)

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