Limitations of jugular bulb oxyhemoglobin saturation without intracranial pressure monitoring in subarachnoid hemorrhage

被引：8

作者：

Chieregato, A ^{[1
]}

Targa, L ^{[1
]}

Zatelli, R ^{[1
]}

机构：

[1] ARCISPEDALE S ANNA, SERV ANESTESIA & RIANIMAZIONE 1, I-44100 FERRARA, ITALY

来源：

JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY | 1996年 / 8卷 / 01期

关键词：

brain death; cerebrovenous desaturation; intracranial pressure; jugular bulb oxyhemoglobin saturation; subarachnoid hemorrhage;

D O I：

10.1097/00008506-199601000-00006

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We report a case of subarachnoid hemorrhage in which, even after having obtained a normal jugular bulb oxyhemoglobin saturation, cerebrovenous desaturation developed, and brain death occurred. The limitations of jugular bulb oxyhemoglobin saturation without intracranial pressure monitoring are discussed. We conclude that if increased intracranial pressure is suspected, use of jugular bulb oxyhemoglobin saturation monitoring alone would appear to be substantially limited.

引用

页码：21 / 25

页数：5

共 28 条

[1] THE EFFECT OF CHANGES IN CEREBRAL PERFUSION-PRESSURE UPON MIDDLE CEREBRAL-ARTERY BLOOD-FLOW VELOCITY AND JUGULAR BULB VENOUS OXYGEN-SATURATION AFTER SEVERE BRAIN INJURY [J].

CHAN, KH ;

MILLER, JD ;

DEARDEN, NM ;

ANDREWS, PJD ;

MIDGLEY, S .

JOURNAL OF NEUROSURGERY, 1992, 77 (01) :55-61

[2]

CHAN KH, 1992, NEUROSURGERY, V30, P697

[3] LACK OF RELEVANCE OF THE BOHR EFFECT IN OPTIMALLY VENTILATED PATIENTS WITH ACUTE BRAIN TRAUMA [J].

CRUZ, J ;

GENNARELLI, TA ;

HOFFSTAD, OJ ;

BOOTH, F ;

SHACKFORD, SR ;

CRUZ, J .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1992, 33 (02) :304-311

[4] CEREBRAL LACTATE-OXYGEN INDEX IN ACUTE BRAIN INJURY WITH ACUTE ANEMIA - ASSESSMENT OF FALSE VERSUS TRUE ISCHEMIA [J].

CRUZ, J ;

HOFFSTAD, OJ ;

JAGGI, JL .

CRITICAL CARE MEDICINE, 1994, 22 (09) :1465-1470

[5] ONLINE MONITORING OF GLOBAL CEREBRAL HYPOXIA IN ACUTE BRAIN INJURY - RELATIONSHIP TO INTRACRANIAL HYPERTENSION [J].

CRUZ, J .

JOURNAL OF NEUROSURGERY, 1993, 79 (02) :228-233

[6] CEREBRAL OXYGENATION MONITORING [J].

CRUZ, J ;

RAPS, EC ;

HOFFSTAD, OJ ;

JAGGI, JL ;

GENNARELLI, TA .

CRITICAL CARE MEDICINE, 1993, 21 (08) :1242-1246

[7]

Cruz J, 1993, Minerva Anestesiol, V59, P555

[8]

Dearden NM., 1991, CURR OPIN ANESTHESIO, V4, P279

[9]

DEDEYNE C, 1994, INTENS CARE MED, V20, pS62

[10] FACTORS ASSOCIATED WITH HYDROCEPHALUS AFTER SUBARACHNOID HEMORRHAGE - A REPORT OF THE COOPERATIVE ANEURYSM STUDY [J].

GRAFFRADFORD, NR ;

TORNER, J ;

ADAMS, HP ;

KASSELL, NF .

ARCHIVES OF NEUROLOGY, 1989, 46 (07) :744-752

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