| Intraoperative jugular bulb desaturation during acute aneurysmal rupture. | |
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MedLine Citation:
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PMID: 16371617 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe an episode of acute jugular venous desaturation during intraoperative rupture of a cerebral aneurysm. CLINICAL FEATURES: A 57-yr-old patient was scheduled for clipping of a large unruptured basilar tip aneurysm. Abrupt bulging of the brain was observed after bone flap removal, but before dura was opened. This was associated with concurrent development of systemic hypertension to 200/120 mmHg and jugular venous bulb (S(jv)O(2)) desaturation to 13%. Rupture of aneurysm was confirmed by frank blood in cerebrospinal fluid drainage from the lumbar subarachnoid catheter. CONCLUSIONS: Abrupt S(jv)O(2) desaturation prior to dural opening may suggest an acute increase in intracranial pressure, which in our case followed aneurysmal rupture; the systemic response to increased intracranial pressure (Cushing's response) may be ineffective in maintaining cerebral perfusion. |
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Authors:
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Irene Rozet; David W Newell; Arthur M Lam |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Canadian journal of anaesthesia = Journal canadien d'anesthésie Volume: 53 ISSN: 0832-610X ISO Abbreviation: Can J Anaesth Publication Date: 2006 Jan |
Date Detail:
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Created Date: 2005-12-22 Completed Date: 2006-08-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8701709 Medline TA: Can J Anaesth Country: Canada |
Other Details:
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Languages: eng Pagination: 97-100 Citation Subset: IM |
Affiliation:
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Harborview Medical Center, Box 359724, 325 Ninth Avenue, Seattle, Washington 98104-2499, USA. irozet@u.washington.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aneurysm, Ruptured / physiopathology*, surgery Cerebrovascular Circulation* Fatal Outcome Humans Hypertension / etiology Intracranial Aneurysm / physiopathology*, surgery Intracranial Pressure Intraoperative Complications* / surgery Jugular Veins / physiopathology* Male Middle Aged Oxygen / blood* |
| Chemical | |
Reg. No./Substance:
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7782-44-7/Oxygen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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