K. Vasantha, J. Abdullah, M. Maharowi, WA. Wan Adnan, Nik Abdullah NM. S. Sharma, M. Ghazaimie, K. Jaalam.
Neurosurgical Division, Department of Anaesthesiology,
School of Medical Sciences, Universiti
Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
Abstract: We report the use of jugular oximeter catheter measurement in the multi disciplinary hemodynamic monitoring with cerebral perfusion pressure measurements with the aid of an intraventricular intraparenchymal catheter.
Methodology: A jugular oximetry catheter (AbottÒ) were inserted on the site of the pathological cerebral cortex (ie if contusion was in the left cerebral cortex, thus the left jugular bulb was cannulated). Continous jugular bulb oxygen saturation (SjVO2) were measured and controlled with blood gases measurement.
Result: The different in the SjVO2 allowed us to regulate oxygen cerebral consumption via the use of ventilation, hyperosmolar solution and barbiturate coma.
Conclusion: SjVO2 measurement is one addition in the complex management of severe head injuries and should be a useful feature in all Neurointensive care in Malaysia.
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