Abstract
Jugular saturation monitoring has gained increasing acceptance in neurointensive care. Several therapeutic decisions are currently based on the internal jugular vein (IJ) content of oxygen or metabolites [1–6]. This is based on the assumption that a reliable sample of mixed venous blood can be drawn from the IJ. In fact many investigators have sampled from the IJs, and a number of reports have been published, based on the assumption that information obtained from one side of the neck is identical, or at least very close, to the data which can be measured in the opposite side [3,6–8].
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References
Cruz J (1992) Jugular venous oxygen saturation monitoring. J Neurosurg 77: 162–163
Cruz J, Gennarelli TA, Alves WM (1992) Continuous monitoring of cerebral hemodynamic reserve in acute brain injury: relationship to change in brain swelling. J Trauma 32: 629–635
Cruz J, Miner ME, Allen SJ, Alves WM, Gennarelli TA (1991) Continuous monitoring of cerebral oxygenation in acute brain injury: assessment of cerebral hemodynamic reserve. Neurosurgery 29: 743–749
Dearden NM (1991) Jugular bulb venous oxygen saturation in the management of severe head injury. Curr opin Anaesthesiology 4: 279–286
Robertson CS, Narayan RK, Gokaslan ZL, et al (1989) Cerebral arteriovenous oxygen difference as an estimate of cerebral blood flow in comatose patients. J Neurosurg 70: 222–230
Sheinberg M, Kanter MJ, Robertson CS, Contant CF, Narayan RK, Grossman RG (1992) Continuous monitoring of jugular venous oxygen saturation in head-injured patients. J Neurosurg 76: 212–217
Bullock R, Stewart L, Rafferty C, Teasdale GM (1993) Continuous monitoring of jugular bulb oxygen saturation and the effect of drugs acting on cerebral metabolism. Acta Neurohir Suppl Wien: 113–118
Gibbs EL, Lennox WG, Nims LF, Gibbs FA (1942) Artenal and cerebral venous blood. Arterial-venous differences in man. J Biol Chem 144: 325–332
Chieregato A, Targa L, Mantovani G, Droghetti L, Zatelli R (1994) Cerebral arteriovenous oxygen difference and lactate-oxygen index: a case of bilateral monitoring. J Neurosurg Anesthesiol 6: 43–47
Inagawa H, Okada Y, Suzuki S, Ono K, Maekawa K (1994) Bilateral jugular bulb oximetry. In: Tsubokawa T, Marmarou A, Robertson C, Teasdale G (eds) Neurochemical monitoring in the intensive care unit. Springer-Verlag, Tokyo, pp 113–119
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: 38–44
Gibbs EL, Lennox WG, Gibbs FA (1945) Bilateral internal jugular blood. Comparison of A-V differences, oxygen-dextrose ratios and respiratory quotients. Am J Psychiatry 102: 184–190
Shenkin HA, Harmel MH, Kety SS (1948) Dynamic anatomy of the cerebral circulation. Arch Neurol Psychiatry 60: 240–252
Lassen NA (1959) Cerebral blood flow and oxygen consumption in man. Physiol Rev 39: 183–238
Cruz J, Gennarelli TA, Hoffstad OJ (1992) Lack of relevance of the Bohr effect in optimally ventilated patients with acute brain trauma. J Trauma 33: 304–311
Chieregato A, Targa L, Zatelli R (1996) Limitations of jugular bulb oxyhemoglobin saturation without intracranial pressure monitoring in subarachnoid hemorrhage. J Neurosurg Anesthesiol 8: 21–25
Andrews PA, Murugavel S, Deehan S (1996) Conventional multimodality monitoring failure to detect ischemic cerebral blood flow. J Neurosurg Anesthesiol 8: 220–226
Obrist WD, Langfitt TW, Jaggi JL, Cruz J, Gennarelli TA (1984) Cerebral blood flow and metabolism in comatose patients with acute head injury. J Neurosurg 61: 241–253
Marion DW, Darby J, Yonas H (1991) Acute regional cerebral blood flow changes caused by severe head injuries. J Neurosurg 74: 407–414
Lazorthes G, Gouazè A, Salamon G (1978) La regulation de la circulation veineuse. In: Lazorthes G, Gouazè A, Salamon G (eds) Vascolarisation et circolation de l’encéphale. Masson, Paris, pp 59–62
Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 8: 307–310
LaManthia KR, O’Connor T, Barash PG (1990) Comparing methods of measurement: an alternative approach. Anesthesiology 72: 781–783
Matthews JNS, Altman DG, Campbell MJ, Royston P (1990) Analysis of serial measurements in medical research. Br Med J 300: 230–235
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Stocchetti, N., Rossi, S., Rotelli, S. (1998). Cerebral Extraction Monitoring in Brain Injury. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1998. Yearbook of Intensive Care and Emergency Medicine, vol 1998. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72038-3_61
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DOI: https://doi.org/10.1007/978-3-642-72038-3_61
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