[Monitoring of jugular venous oxygen saturation]
1Department of Emergency and Critical Care Medicine, Showa University School of Medicine.
Abstract:
The continuous monitoring of jugular venous oxygen saturation(SjO2) has become a practical method for monitoring global cerebral oxygenation and metabolism. SjO2 reflects the balance between the cerebral blood flow and the cerebral metabolic rate for oxygen (CMRO2), if arterial oxyhemoglobin saturation, hemoglobin concentration remain constant. Normal SjO2 values range between 55% and 75%. Low SjO2 indicates cerebral hypoperfusion or ischemia. Conversely, an increased SjO2 indicates either cerebral hyperemia or a disorder that decreases CMRO2. In minimizing secondary brain damage following resuscitation from cardiopulmonary arrest, SjO2 monitoring is thus considered to be an integral part of multimodality monitoring and can provide important information for the management of patients in neurointensive care.
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