Summary
The relationship of jugular venous desaturation and neurological outcome was examined in 116 patients with severe head injury. Seventy-six episodes of jugular venous desaturation were prospectively identified in 46 (40%) of the patients. The etiology of the desaturations varied, including both systemic and cerebral causes. A poor neurological outcome was strongly associated with the occurrence of jugular venous desaturation.
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References
Andrews, PJ, Dearden NM, Miller JD (1991) Jugular bulb cannulation: description of a cannulation technique and validation of a new continuous monitor. Br J Anaesth 67: 553–558
Cruz J (1988) Continuous versus serial global cerebral hemometabolic monitoring: applications in acute brain trauma. Acta Neurochir (Wien) [Suppl] 42: 35–39
Cruz J, Miner ME, Allen SJ, et al (1991) Continuous monitoring of cerebral oxygenation in acute brain injury: assessment of cerebral hemodynamic reserve. Neurosurgery 29: 743
Garlick R, Bihari D (1987) The use of intermittent and continuous recordings of jugular venous bulb oxygen saturation in the unconscious patient. Scand J Clin Lab Invest 47 [Suppl 188]: 47–52
Graham DI, Ford I, Adams JH, et al (1989) Ischaemic brain damage is still common in fatal non-missile head injury. J Neurol Neurosurg Psychiatry 52: 346–350
Hans P, Franssen C, Damas F, et al (1991) Continuous measurement of jugular venous bulb oxygen saturation in neurosurgical patients. Acta Anaesthesiol Belg 42: 213–218
Jennett B, Teasdale G, Braakman R, et al (1977) Prognosis in series of patients with severe head injury. Neurosurgery 4: 283
Kohi YM, Mendelow AD, Teasdale GM, et al (1984) Extra-cranial insults and outcome in patients with acute head injury — relationship to the Glasgow Coma Scale. Injury 16: 25–29
Miller JD, Becker DP, Ward JD, et al (1977) Significance of intracranial hypertension in severe head injury. J Neurosurg 47: 501–516
Miller JD (1985) Head injury and brain ischaemia-implications for therapy. Br J Anaesth 57: 120–129
Narayan RK, Greenberg RP, Miller JD, et al (1981) Improved confidence of outcome prediction in severe head injury: A comparative analysis of the clinical examination, multimodality evoked potentials, CT scanning and intracranial pressure. J Neurosurg 54: 751–762
Robertson CS, Contant CF, Gokaslan ZL, Narayan RK, Grossman RG (1992) Cerebral blood flow and outcome after head injury. J Neurol Neurosurg Psychiatry 55: 594–603
Sheinberg M, Kanter JM, Robertson CS, et al (1992) Continuous monitoring of jugular venous oxygen saturation in head-injured patients. J Neurosurg 76: 212–217
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© 1993 Springer-Verlag
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Robertson, C. (1993). Desaturation Episodes after Severe Head Injury: Influence on Outcome. In: Unterberg, A.W., Schneider, GH., Lanksch, W.R. (eds) Monitoring of Cerebral Blood Flow and Metabolism in Intensive Care. Acta Neurochirurgica, vol 59. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9302-0_17
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DOI: https://doi.org/10.1007/978-3-7091-9302-0_17
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-9304-4
Online ISBN: 978-3-7091-9302-0
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