The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
Continuous monitoring of jugular venous oxygen saturation in head-injured patients
Abstract
✓ The continuous measurement of jugular venous oxygen saturation (SjvO 2) with a fiberoptic catheter is evaluated as a method of detecting cerebral ischemia after head injury. Forty-five patients admitted to the hospital in coma after severe head injury had continuous and simultaneous monitoring of SjvO 2, intracranial pressure, arterial oxygen saturation, and end-tidal CO 2. Cerebral blood flow, cerebral metabolic rates of oxygen and lactate, arterial and jugular venous blood gas levels, and hemoglobin concentration were measured every 8 hours for 1 to 11 days. Whenever SjvO 2 dropped to less than 50%, a standardized protocol was followed to confirm the validity of the desaturation and to establish its cause. Correlation of SjvO 2 values obtained by catheter and with direct measurement of O 2 saturation by a co-oximeter on venous blood withdrawn through the catheter was excellent after in vivo calibration when there was adequate light intensity at the catheter tip (176 measurements: r = 0.87, p < 0.01). A total of 60 episodes of jugular venous oxygen desaturation occurred in 45 patients. In 20 patients the desaturation value was confirmed by the co-oximeter. There were 33 episodes of desaturation in these 20 patients, due to the following causes: intracranial hypertension in 12 episodes, hypocarbia in 10, arterial hypoxia in six, combinations of the above in three, systemic hypotension in one, and cerebral vasospasm in one. The incidence of jugular venous oxygen desaturations found in this study suggests that continuous monitoring of SjvO 2 may be of clinical value in patients with head injury.
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Cites
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Cerebral Blood Flow and Oxygen Consumption in Man
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Further experience in the management of severe head injury
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Ischaemic brain damage is still common in fatal non-missile head injury.
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ARTERIAL AND CEREBRAL VENOUS BLOOD
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ISCHÆMIC BRAIN DAMAGE IN FATAL HEAD INJURIES
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Cited by
Prevention of secondary ischemic insults after severe head injury
Robertson, C. S., Valadka, A. B., Hannay, H. J., Contant, C. F., Gopinath, S. P., Cormio, M., Uzura, M., & Grossman, R. G. (1999) · Critical Care Medicine · doi:10.1097/00003246-199910000-00002 · Cited by 748
Self-citationContinuous Monitoring of Partial Pressure of Brain Tissue Oxygen in Patients with Severe Head Injury
van Santbrink, H., Maas, A. I. R., & Avezaat, C. J. J. (1996) · Neurosurgery · doi:10.1097/00006123-199601000-00007 · Cited by 389
Vespa, P., Prins, M., Ronne-Engstrom, E., Caron, M., Shalmon, E., Hovda, D. A., Martin, N. A., & Becker, D. P. (1998) · Journal of Neurosurgery · doi:10.3171/jns.1998.89.6.0971 · Cited by 334
Clinical Experience with 118 Brain Tissue Oxygen Partial Pressure Catheter Probes
Dings, J., Meixensberger, J., Jäger, A., & Roosen, K. (1998) · Neurosurgery · doi:10.1097/00006123-199811000-00045 · Cited by 323
Traumatic brain injury: pathophysiology for neurocritical care
Kinoshita, K. (2016) · Journal of Intensive Care · doi:10.1186/s40560-016-0138-3 · Cited by 257
Metadata
- Authors
- Sheinberg, M., Kanter, M. J., Robertson, C. S., Contant, C. F., Narayan, R. K., & Grossman, R. G.
- Venue
- Journal of Neurosurgery
- Published
- 1992-02
- Volume
- 76
- Issue
- 2
- Pages
- 212-217
- ISSN
- 0022-3085 (ISSN-L)
- OpenAlex
- W2012702838
- Cited by
- 422
- References
- 13
- FWCI
- 22.25
- Type
- journal article
- Language
- en
- Open access
- closed
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- Sheinberg, M., Kanter, M. J., Robertson, C. S., Contant, C. F., Narayan, R. K., & Grossman, R. G. (1992). Continuous monitoring of jugular venous oxygen saturation in head-injured patients. Journal of Neurosurgery. https://doi.org/10.3171/jns.1992.76.2.0212
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