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Bilateral Jugular Bulb Oximetry

  • Hiroshi Inagawa
  • Yasusei Okada
  • Sou Suzuki
  • Kazuyuki Ono
  • Kazuhiko Maekawa

Abstract

Jugular bulb oxygen saturation (SjO2) monitoring has been proposed as a means of early detection of cerebral ischemia caused by intracranial hypertension. There remain, however, many unsolved problems as to the physiological basis for this monitoring, so that the obtained SjO2 value sometimes is difficult to interpret. One may ask, for instance, which side of the internal jugular vein is to be cannulated or whether the SjO2 values obtained from one side really represent whole-brain oxygenation or at least that of the ipsilateral hemisphere. To answer this question, a considerable amount of knowledge about cerebral blood flow distribution and metabolism and their response to various insults must be obtained. Several studies have investigated bilateral jugular bulb oxygenation. The problem of side-to-side discrepancies is still controversial. Our study was planned to observe bilateral SjO2 in various clinical settings to see whether such discrepancies, if such ever existed, would change our perspective on cerebral oxygenation monitoring.

Keywords

Intracranial Hypertension Respiratory Quotient Sigmoid Sinus Jugular Bulb Osmotic Diuretic 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Stocchetti N, Paparella A, Bridelli F, Bacchi M, Piazza P, Zuccoli P (1994) Cerebral venous oxygen saturation studied with bilateral samples in the internal jugular veins. Neurosurgery 34(1): 38–44PubMedCrossRefGoogle Scholar
  2. 2.
    Takamatsu K, Takizawa, T, Miyamoto T, Taguchi A, Hoshino H (1994) A case of hypoglycemic hemiplegia. Shinkeinaika 40: 81–84Google Scholar
  3. 3.
    Sheinberg M, Kanter MJ, Robertson CS, Contant CF, Narayan RK, Grossman RG (1992) Continuous monitoring of jugular venous oxygen saturation in headinjured patients. J Neurosurg 76: 212–217PubMedCrossRefGoogle Scholar
  4. 4.
    Dearden NM (1991) Jugular bulb venous oxygen saturation in the management of severe head injury. Curr Opin Anesthesiol 4: 279–286CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1995

Authors and Affiliations

  • Hiroshi Inagawa
    • 1
  • Yasusei Okada
    • 1
  • Sou Suzuki
    • 1
  • Kazuyuki Ono
    • 1
  • Kazuhiko Maekawa
    • 1
  1. 1.Department of Traumatology and Critical Care, Faculty of MedicineUniversity of TokyoBunkyo-ku, Tokyo 113Japan

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