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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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 2 | 4 |
| 2021 Octubre | 0 | 2 | 2 |
| 2018 Febrero | 10 | 7 | 17 |
| 2018 Enero | 18 | 9 | 27 |
| 2017 Diciembre | 14 | 16 | 30 |
| 2017 Noviembre | 13 | 25 | 38 |
| 2017 Octubre | 7 | 18 | 25 |
| 2017 Septiembre | 9 | 26 | 35 |
| 2017 Agosto | 7 | 12 | 19 |
| 2017 Julio | 9 | 14 | 23 |
| 2017 Junio | 20 | 14 | 34 |
| 2017 Mayo | 15 | 10 | 25 |
| 2017 Abril | 15 | 7 | 22 |
| 2017 Marzo | 16 | 12 | 28 |
| 2017 Febrero | 3 | 4 | 7 |
| 2017 Enero | 5 | 4 | 9 |
| 2016 Diciembre | 25 | 17 | 42 |
| 2016 Noviembre | 21 | 13 | 34 |
| 2016 Octubre | 26 | 10 | 36 |
| 2016 Septiembre | 32 | 15 | 47 |
| 2016 Agosto | 44 | 14 | 58 |
| 2016 Julio | 42 | 30 | 72 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Octubre | 1 | 12 | 13 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Agosto | 1 | 0 | 1 |
| 2015 Julio | 0 | 5 | 5 |
| 2015 Junio | 11 | 21 | 32 |
| 2015 Mayo | 44 | 26 | 70 |
| 2015 Abril | 12 | 9 | 21 |
| 2015 Marzo | 14 | 13 | 27 |
| 2015 Febrero | 11 | 23 | 34 |
| 2015 Enero | 9 | 16 | 25 |
| 2014 Diciembre | 14 | 20 | 34 |
| 2014 Noviembre | 11 | 19 | 30 |
| 2014 Octubre | 12 | 31 | 43 |
| 2014 Septiembre | 12 | 27 | 39 |
| 2014 Agosto | 15 | 25 | 40 |
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| 2014 Junio | 16 | 32 | 48 |
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| 2014 Marzo | 11 | 31 | 42 |
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| 2013 Febrero | 9 | 12 | 21 |
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