Skip to main content

SjVO2 Monitoring in Head-Injured Patients

  • Conference paper
  • 65 Accesses

Abstract

Studies of head-injured patients have demonstrated that a reduced cerebral blood flow (CBF) is associated with a poor neurological outcome [1]. Jugular venous oxygen saturation (SjVO2) is theoretically a useful monitor for cerebral hypoxia and ischemia because it reflects the balance between oxygen delivery to the brain and oxygen consumption by the brain. Because both delivery and consumption parameters can be abnormal after a head injury, the relative balance between these two parameters is often more valuable information than the absolute level of either of the parameters alone. Any disturbance that increases cerebral oxygen consumption or decreases oxygen delivery may decrease SjVO2. The purpose of this study was to examine the incidence and causes of jugular venous desaturation detected with continuous monitoring of SjVO2.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Gopinath SP, Robertson CS, Contant CF, Hayes C, Feldman Z, Narayan RK, Grossman RG (1994) Jugular venous desaturation and outcome after head injury. J Neurol Neurosurg Psychiatry 57: 717–723

    Article  PubMed  CAS  Google Scholar 

  2. Andrews PJ, Dearden NM, Miller JD (1991) Jugular bulb cannulation: description of a cannulation technique and validation of a new continuous monitor. Br J Anaesth 67: 553–558

    Article  PubMed  CAS  Google Scholar 

  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: 212–217

    Article  PubMed  CAS  Google Scholar 

  4. Dearden NM (1991) Jugular bulb venous oxygen saturation in the management of severe head injury. Curr Opin Anaesth 4: 279–286

    Article  Google Scholar 

  5. Stocchetti N, Paparella A, Bridelli F, Bacchi M, Piazza P, Zuccoli P (1994) Cerebral venous oxygen saturation studied using bilateral samples in the jugular veins. Neurosurgery 34: 38–44

    Article  PubMed  CAS  Google Scholar 

  6. Gibbs EL, Lennox WG, Nims LF, Gibbs FA (1942) Arterial and cerebral venous blood. Arterial-venous differences in man. J Biol Chem 144: 325–332

    CAS  Google Scholar 

  7. Goetting MG, Preston G (1990) Jugular bulb catheterization: experience with 123 patients. Crit Care Med 18: 1220–1223

    Article  PubMed  CAS  Google Scholar 

  8. Stocchetti N, Barbagallo M, Gordon CR, Mensi F, Paparella A, Piazza P, Serioli T (1991) Arterio-jugular difference of oxygen and intracranial pressure in comatose, head injured patients: I. Technical aspects and complications. Minerva Anestesiol 57: 319–326

    PubMed  CAS  Google Scholar 

  9. Seneff MG, Rippe JM (1985) Central venous catheters. In: Rippe JM, Irwin RS, Alpert JS, Dalen JE (eds) Intensive care medicine. Little, Brown, Boston, pp 16–33

    Google Scholar 

  10. Goetting MG, Preston G (1991) Jugular bulb catheterization does not increase intracranial pressure. Intensive Care Med 17: 195–198

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag Tokyo

About this paper

Cite this paper

Robertson, C.S. (1995). SjVO2 Monitoring in Head-Injured Patients. In: Tsubokawa, T., Marmarou, A., Robertson, C., Teasdale, G. (eds) Neurochemical Monitoring in the Intensive Care Unit. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68522-7_19

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-68522-7_19

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68524-1

  • Online ISBN: 978-4-431-68522-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics