Benefits and Pitfalls of Jugular Bulb Venous Oxygen Saturation Monitoring

  • N. Mark Dearden
Conference paper


Evidence is emerging that substantial ischemic brain damage, which contributes to the morbidity and mortality of critically ill neurosurgical patients, occurs predominantly within the first few hours following brain trauma [1, 2, 3]. Later ischemic episodes are also reported, however, during intensive care [2, 4]. Falling cerebral perfusion pressure (CPP) from systemic hypotension or increased intracranial pressure (ICP) lowers global cerebral blood flow (CBF), while regional ischemia may result from vascular distortion or vasospasm. Boundary zone regional ischemia between anterior and middle cerebral arteries is seen in 22% of brain trauma patients at post mortem.


Internal Jugular Vein Cerebral Perfusion Pressure Jugular Bulb Global Cerebral Blood Flow Cerebral Oxygen Delivery 
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Copyright information

© Springer-Verlag Tokyo 1995

Authors and Affiliations

  • N. Mark Dearden
    • 1
  1. 1.Department of AnesthesiaLeeds General InfirmaryLeedsUK

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