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Monitoring of Jugular Venous Oxygen Saturation

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Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals

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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.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, University Hospital, University of Michigan, Ann Arbor, MI, USA

    Satwant K. Samra

  2. Department of Neurosurgery, University of Michigan Medical School, Ann Arbor, MI, USA

    Venkatakrishna Rajajee

Authors
  1. Satwant K. Samra
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  2. Venkatakrishna Rajajee
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Correspondence to Satwant K. Samra .

Editor information

Editors and Affiliations

  1. Director, Neurosurg Anes Fellowship Prog, Professor, Department of Anesthesiology Chief, Neurosurgical Anesthesia, Chicago, Illinois, USA

    Antoun Koht

  2. Univ of Colorado School of Medicine, Professor Department of Anesthesiology, Aurora, Colorado, USA

    Tod B. Sloan

  3. Director,, Associate Professor Department of Anesthesiology, Chicago, Illinois, USA

    J. Richard Toleikis

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Samra, S.K., Rajajee, V. (2012). Monitoring of Jugular Venous Oxygen Saturation. In: Koht, A., Sloan, T., Toleikis, J. (eds) Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-0308-1_12

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  • DOI: https://doi.org/10.1007/978-1-4614-0308-1_12

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  • Publisher Name: Springer, Boston, MA

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  • Online ISBN: 978-1-4614-0308-1

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