Cerebral monitoring: jugular venous oximetry.
@article{Schell2000CerebralMJ,
title={Cerebral monitoring: jugular venous oximetry.},
author={Randall M. Schell and Daniel J. Cole},
journal={Anesthesia and analgesia},
year={2000},
volume={90 3},
pages={
559-66
}
}The internal jugular vein exits the skull and continues its course, within the carotid sheath, beneath the sternocleidomastoid muscle in a posterolateral approximation to the carotid artery. The jugular bulb is the dilated portion of the jugular vein just below the base of the skull and is the preferred site for blood sampling (see Figure 1). Although blood in the jugular bulb is derived from both cerebral hemispheres (approximately 70% ipsilateral and 30% contralateral) (6–8), it is generally…
Topics from this paper
154 Citations
Monitoring of Jugular Venous Oxygen Saturation
- Medicine
- 2017
Jugular venous oximetry is an integral part of multimodal neuromonitoring in neurocritical care and a valuable technique to optimize cerebral oxygenation during craniotomy.
Continuous jugular venous oximetry in the neurointensive care unit — a brief review
- MedicineCanadian journal of anaesthesia = Journal canadien d'anesthesie
- 2002
There is evidence that SjVO2 may be a useful adjunct to ICP monitoring of patients with intracranial hypertension, and managing cerebral extraction of oxygen in conjunction with cerebral perfusion pressure may result in an improved outcome.
Role of Jugular Venous Oxygen Saturation in Neuroanesthesia
- Medicine
- 2015
In this chapter, the usefulness of SjvO2 monitoring, the significance of abnormal SjVO2 levels, and relevant countermeasures are reviewed.
Neonatal cerebral oximetry monitoring during ECMO cannulation
- MedicineJournal of Perinatology
- 2009
Neonates are vulnerable to SctO2 during the pre-ECMO surgical period, and Pulse oximetry was found to be unreliable during CPR because of diminished pulsatile flow.
Continuous intra-jugular venous blood-gas monitoring with the Paratrend 7 during hypothermic cardiopulmonary bypass.
- MedicineBritish journal of anaesthesia
- 2001
It is concluded that continuous intra-jugular venous blood-gas monitoring is clinically feasible using the PT7 and may provide valuable information during CPB.
Improvement of cerebral oxygenation during laparoscopy using intermittent sequential compression of legs.
- MedicinePrilozi
- 2011
Application of intermittent sequential compression of the legs is a simple and safe technique for preserving the brain oxygenation during laparoscopy by restoring the blood return from the legs.
Cerebral oxygenation in hemodialysed patients
- MedicineJournal of Anesthesia
- 2019
The authors attempted to draw associations between the area of cerebrospinal fluid (CSF) layer and skull thickness (measured from CT scans of the brain) and rSO2 values, but were unclear about the number of patients who had the scans performed and their method of sampling was unusual.
Changes in Jugular Venous Oxygen Saturation during Liver Transplantation
- Medicine
- 2006
SjvO2 that reflects changes in cerebral oxygen demand-supply balance was well maintained during liver transplantation except the reperfusion period, and may provide further insight to understand physiology of cerebral oxygenation during Liver transplantation.
Brain Oxygen Monitoring via Jugular Venous Oxygen Saturation in a Patient with Fulminant Hepatic Failure
- Medicine, Biology
- 2016
The case of a patient with increased intracranial pressure due to FHF, in which JvO2 was used for appropriate brain oxygen monitoring, is reported.
Assessment of cerebral oxygen balance during deep hypothermic circulatory arrest by continuous jugular bulb venous saturation and near-infrared spectroscopy.
- MedicineJournal of cardiothoracic and vascular anesthesia
- 2006
NIRS does not closely correlate with SjvO(2) in this patient population and Cerebral oximetry measured by NIRS could not replace jugular bulb saturation as an intraoperative marker of adequate metabolic suppression.
References
SHOWING 1-10 OF 72 REFERENCES
Retrograde Catheterization of the Right Internal Jugular Vein for Serial Measurements of Cerebral Venous Oxygen Content
- MedicineJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism
- 1989
Serial measurements of CBF and metabolism require multiple cerebral venous blood samples and retrograde catheterization of the right internal jugular vein reduces contamination with extracerebral blood to a minimum.
Cerebral venous oxygen saturation studied with bilateral samples in the internal jugular veins.
- MedicineNeurosurgery
- 1994
Compared oxygen saturation in both IJs in 32 patients with head injuries, no relationship was found among the computed tomographic scan data and the pattern of hemoglobin saturation detected, and the side more appropriate for monitoring in patients with bilateral, predominantly monolateral, cortical, or deeply located lesions was not identified.
Percutaneous catheterization of the jugular bulb with a Doppler probe: technical note.
- MedicineNeurosurgery
- 1993
A technique is described whereby catheterization can be performed with the head of the bed elevated and the neck in a neutral position, which allows auditory feedback to guide the course of the needle and decreases the morbidity that may be associated with the "blind" technique.
Ultrasound study of the cranial venous system in the human new-born infant and the adult.
- MedicineActa physiologica Scandinavica
- 1983
A pulsed doppler ultrasound technique has been used to measure changes in blood velocities in the superior sagittal sinus, the jugular veins and intracranial and extracranial arteries in 13 neonates,…
Jugular bulb oximetry: review on a cerebral monitoring technique.
- MedicineActa anaesthesiologica Belgica
- 1998
Jugular bulb oximetry could also guide specific intracranial antihypertensive treatment, as it may reveal the pathophysiological mechanisms behind intracanial hypertension with regard to the status of cerebral perfusion (cerebral hyperemia or cerebral hypoperfusion).
BILATERAL INTERNAL JUGULAR BLOOD
- Medicine
- 1945
Blood was drawn simultaneously from an artery and the two internal jugular veins in 25 subjects, except in 4 patients with psychosis, and in 4 epileptics with left-sided cerebral pathology, where the oxygen A-V difference was approximately the same on the two sides.
Anatomical variations of internal jugular vein location: Impact on central venous access
- MedicineCritical care medicine
- 1991
These findings suggest that anatomical variation may partly account for the inability to cannulate the internal jugular vein in certain patients and suggest that ultrasound examination quickly establishes the position of the internaljugular vein and may allow for easy and rapid access.
[Arterio-jugular difference of oxygen and intracranial pressure in comatose, head injured patients. I. Technical aspects and complications].
- MedicineMinerva anestesiologica
- 1991
The monitoring of the comatose head injured patients is based on the recording of several data; the intracranial pressure measurements (ICP), associated with the arterial pressure recording, gives a…
Accuracy of continuous jugular bulb venous oximetry during cardiopulmonary bypass.
- MedicineAnesthesia and analgesia
- 1993
The continuous SjO2 monitoring with catheter oximetry during CPB would be accurate and reliable under either calibration mode.
The role of continuous jugular venous saturation monitoring during cardiac surgery with cardiopulmonary bypass.
- MedicineAnesthesia and analgesia
- 1992
The rewarming period following moderate hypothermic CPB is identified as a potential period of increased neurologic risk and in the paradigm of neurologic injury after CPB, the relative importance of incomplete global ischemia is unclear.