Title of article :
Brain Oxygen Monitoring via Jugular Venous Oxygen Saturation in a Patient with Fulminant Hepatic Failure
Author/Authors :
Kim, Yerim Department of Neurology - Kangdong Sacred Heart Hospital - Hallym University Medical Center, Seoul , Kim, Chi Kyung Department of Neurology - Korea University Guro Hospital, Seoul , Jung, Seunguk Department of Neurology - Gyeongsang National University Changwon Hospital, Changwon , Ko, Sang-Bae Department of Neurology - Seoul National University Hospital - Seoul, Korea
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.
Keywords :
brain edema , liver failure , acute , hepatic encephalopathy , jugular vein , oxygen consumption
Journal title :
Acute and Critical Care
