Medición bilateral de la saturación yugular de oxígeno
Bilateral jugular venous oxygen saturation measurements
M. Pérez Márquez, A.J. Betbesé Roig, G. Rialp Cervera, J.A. Santos Rodríguez, A. Net, L. Marruecos
Servicio de Cuidados Intensivos. Hospital de la Santa Creu i Sant Pau. Universitat Autonoma de Barcelona
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"apellidos" => "de la Mata" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399707980?idApp=UINPBA00004B" "url" => "/11301473/0000001000000003/v1_201305151012/S1130147399707980/v1_201305151012/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Medición bilateral de la saturación yugular de oxígeno" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "219" "paginaFinal" => "225" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M. Pérez Márquez, A.J. Betbesé Roig, G. Rialp Cervera, J.A. Santos Rodríguez, A. Net, L. Marruecos" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Pérez Márquez" ] 1 => array:2 [ "nombre" => "A.J." "apellidos" => "Betbesé Roig" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Rialp Cervera" ] 3 => array:2 [ "nombre" => "J.A." "apellidos" => "Santos Rodríguez" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Net" ] 5 => array:2 [ "nombre" => "L." "apellidos" => "Marruecos" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Cuidados Intensivos. Hospital de la Santa Creu i Sant Pau. Universitat Autonoma de Barcelona" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Bilateral jugular venous oxygen saturation measurements" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:1 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156691" "palabras" => array:3 [ 0 => "Acute head injury" 1 => "Cerebral bood flow" 2 => "Jugular vein" ] ] ] ] "tieneResumen" => true "resumen" => array:1 [ "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The objetive of this study was to obtain information about cerebral hemodynamics through retrograde cannulation of both internal jugular veins and monitoring jugular bulb oxigen saturation.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Fourteen (14) patients admitted to our ICU between July of 1994 and April of 1995 were prospectively studied. The intracranial pressure (ICP) was monitored and bilateral cannulation of the internal yugular vein was performed. In 9 patients, one of the two veins was channeled with an optic fiber catheter for continous monitoring at oxigen jugular saturation (SyO<span class="elsevierStyleInf">2</span>)’ Simultaneus samples were obtained every 8 hours from both jugular veins for measuring SyO<span class="elsevierStyleInf">2</span> whenever therapeutic changes were needed or before an increase in the ICP was observed. A total of 140 measurements were performed (mean 10 per patient). A variance analysis, t of student and simple linear regression analysis of the pars obtained in the SyO<span class="elsevierStyleInf">2</span> were performed. Furthermore we studied the influence of the type of intracranial pathology as assessed by cranial computerized tomography (CT), as well as at different levels of raised IPC.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Average monitoring time was 7.2 days (311). The brain injury in the CT was considered focal in 8 patients and mixed (focal + diffused) in 6. The correlation between the left and right SyO<span class="elsevierStyleInf">2</span> was r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.68 (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.005). In patients with focal CT lesions correlation was r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.58 (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.005), with true regression Y= 32 + 04X. Mean values were 61.8<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>9% for the right jugular and 67.6<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>12% for the left (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.005). The correlation in patients with mixed CT lesions was r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.79 (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.005) with true regression Y= 18 + O.72X. The average value was 70.9<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>11% for the rigth jugular and 71<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>12% for the left jugular vein (difference not significant). The correlation coefficient for ICP levels of <20, >20, >30 and >40<span class="elsevierStyleHsp" style=""></span>mm Hg was r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.66, r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.79, r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.85 and r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.89, respectively. Clinical discordance between bilateral measurements was over 30% of these in 50% of the patients.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The SyO<span class="elsevierStyleInf">2</span> obtained through retrograde cannulation from both jugular veins maintains a correct positive correlation that improves in intracranial hypertension situations. Correlation is better in patients with mixed CT lesion than in those with focal pathology. Our study could not determine which of the two jugular veins provided more reliable information of about intracranial hemodynamics. Consequently, we do not support the used of bilateral SyO<span class="elsevierStyleInf">2</span> monitoring in the clinical rutine.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Pérez Márquez, M.; Betsebé Roig, AJ.; Rialp Cervera, G.; Santos Rodríguez, J.A.; Marruecos Sant, L.; Net, A.: Medición bilateral de la saturación yugular de oxígeno. Neurocirugía 1999; 10: 219–225.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Jugular bulb cannulation: descripcion of a cannulation tecnique and validation of a continuos monitor" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.J.D. Andrews" 1 => "N.M. Dearden" 2 => "J.D. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 2 | 2 | 4 |
| 2021 October | 0 | 2 | 2 |
| 2018 February | 10 | 7 | 17 |
| 2018 January | 18 | 9 | 27 |
| 2017 December | 14 | 16 | 30 |
| 2017 November | 13 | 25 | 38 |
| 2017 October | 7 | 18 | 25 |
| 2017 September | 9 | 26 | 35 |
| 2017 August | 7 | 12 | 19 |
| 2017 July | 9 | 14 | 23 |
| 2017 June | 20 | 14 | 34 |
| 2017 May | 15 | 10 | 25 |
| 2017 April | 15 | 7 | 22 |
| 2017 March | 16 | 12 | 28 |
| 2017 February | 3 | 4 | 7 |
| 2017 January | 5 | 4 | 9 |
| 2016 December | 25 | 17 | 42 |
| 2016 November | 21 | 13 | 34 |
| 2016 October | 26 | 10 | 36 |
| 2016 September | 32 | 15 | 47 |
| 2016 August | 44 | 14 | 58 |
| 2016 July | 42 | 30 | 72 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 1 | 12 | 13 |
| 2015 September | 1 | 0 | 1 |
| 2015 August | 1 | 0 | 1 |
| 2015 July | 0 | 5 | 5 |
| 2015 June | 11 | 21 | 32 |
| 2015 May | 44 | 26 | 70 |
| 2015 April | 12 | 9 | 21 |
| 2015 March | 14 | 13 | 27 |
| 2015 February | 11 | 23 | 34 |
| 2015 January | 9 | 16 | 25 |
| 2014 December | 14 | 20 | 34 |
| 2014 November | 11 | 19 | 30 |
| 2014 October | 12 | 31 | 43 |
| 2014 September | 12 | 27 | 39 |
| 2014 August | 15 | 25 | 40 |
| 2014 July | 5 | 18 | 23 |
| 2014 June | 16 | 32 | 48 |
| 2014 May | 17 | 31 | 48 |
| 2014 April | 7 | 22 | 29 |
| 2014 March | 11 | 31 | 42 |
| 2014 February | 14 | 24 | 38 |
| 2014 January | 13 | 18 | 31 |
| 2013 December | 6 | 15 | 21 |
| 2013 November | 13 | 22 | 35 |
| 2013 October | 16 | 17 | 33 |
| 2013 September | 20 | 23 | 43 |
| 2013 August | 24 | 30 | 54 |
| 2013 July | 19 | 17 | 36 |
| 2013 June | 21 | 16 | 37 |
| 2013 May | 12 | 25 | 37 |
| 2013 April | 15 | 26 | 41 |
| 2013 March | 11 | 26 | 37 |
| 2013 February | 9 | 12 | 21 |
| 2013 January | 12 | 7 | 19 |
| 2012 December | 12 | 18 | 30 |
| 2012 November | 1 | 9 | 10 |
| 2012 October | 0 | 1 | 1 |
| 2012 September | 0 | 2 | 2 |
| 2012 January | 3 | 0 | 3 |
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