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Monitoring of Jugular Venous Oxygen Saturation

Chapter

Abstract

Monitoring of jugular venous hemoglobin oxygen saturation (SjvO2) is not a new technique. This monitoring method has been used since the 1940s [1]. What has changed in recent years is the method of monitoring SjvO2. In early studies, a blood sample was obtained by direct needle puncture of the superior jugular bulb by inserting the needle one centimeter anterior and inferior to the mastoid process. In general the technique was used either to calculate the arteriovenous difference in oxygen tension and hemoglobin saturation in neurosurgical intensive care unit (NICU) or intraoperatively in patients undergoing carotid endarterectomy (CEA). During CEA, a single sample of blood from the jugular bulb was analyzed shortly after occlusion of the ipsilateral internal carotid artery. It was used as a monitor of adequacy of collateral cerebral circulation in order to determine the need for placement of an arterial shunt.

Keywords

Anatomy Internal jugular vein Pathophysiological Monitoring Venous Oxygen saturation Ischemia Clinical applications In vivo oxymetry Catheters 

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of AnesthesiologyUniversity Hospital, University of MichiganAnn ArborUSA
  2. 2.Department of NeurosurgeryUniversity of Michigan Medical SchoolAnn ArborUSA

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