Brain Oxygen Monitoring via Jugular Venous Oxygen Saturation in a Patient with Fulminant Hepatic Failure.
10.4266/kjccm.2016.00143
- Author:
Yerim KIM
;
Chi Kyung KIM
;
Seunguk JUNG
;
Sang Bae KO
- Publication Type:Case Report
- Keywords:
brain edema;
liver failure, acute;
hepatic encephalopathy;
jugular vein;
oxygen consumption
- MeSH:
Brain Edema;
Brain Injuries;
Brain*;
Early Diagnosis;
Hepatic Encephalopathy;
Humans;
Intracranial Pressure;
Jugular Veins;
Liver Failure, Acute*;
Mortality;
Oxygen Consumption;
Oxygen*
- From:Korean Journal of Critical Care Medicine
2016;31(3):251-255
- CountryRepublic of Korea
- Language:English
-
Abstract:
Fulminant hepatic failure (FHF) is often accompanied by a myriad of neurologic complications, which are associated with high morbidity and mortality. Although appropriate neuromonitoring is recommended for early diagnosis and to minimize secondary brain injury, individuals with FHF usually have a high chance of coagulopathy, which limits the ability to use invasive neuromonitoring. Jugular bulb venous oxygen saturation (JvO₂) monitoring is well known as a surrogate direct measures of global brain oxygen use. We report the case of a patient with increased intracranial pressure due to FHF, in which JvO₂ was used for appropriate brain oxygen monitoring.
