Document Detail

Analysis of very early jugular bulb oximetry data after severe head injury: implications for the emergency management?
MedLine Citation:
PMID:  9028748     Owner:  NLM     Status:  MEDLINE    
Jugular bulb oximetry provides the first bedside available information on cerebral oxygen utilization. An extensive analysis was made of all initial jugular bulb oximetry data obtained in 150 patients within the first 12 h after severe traumatic brain injury. These data revealed initial abnormal jugular bulb saturation values in 57 patients (= 38% of study population), with a predominance of jugular bulb desaturation (observed in 45 patients). This confirms earlier reports that revealed a high incidence of disturbed and inadequate cerebral perfusion in the first hours after brain injury. Jugular bulb desaturation was especially related to systemic causes (such as a lowered cerebral perfusion pressure observed in 29 patients, and a lowered arterial carbon dioxide tension in 24 patients). These findings could have important implications for the emergency management of severely head-injured patients, as outcome might possibly be improved by better attention to all systemic factors that might reduce cerebral perfusion in the early hours after traumatic insult.
C De Deyne; J Decruyenaere; P Calle; T Vandekerckhove; B Vaganee; R Blanca Garcia; F Colardyn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  3     ISSN:  0969-9546     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1997-05-22     Completed Date:  1997-05-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  69-72     Citation Subset:  IM    
Department of Intensive Care, University Hospital Gent, Belgium.
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MeSH Terms
Brain / metabolism*
Brain Injuries / metabolism*
Jugular Veins
Monitoring, Physiologic / standards
Oximetry / methods
Oxygen / blood
Oxygen Consumption*
Retrospective Studies
Reg. No./Substance:

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