Monitoring of cerebral oxygen saturation with a jugular bulb catheter after near-drowning and respiratory failure

We report on monitoring oxygen saturation with a jugular bulb fiber-optical catheter in an 18-month-old girl after fresh water near-drowning followed by acute respiratory failure. The first measured cerebral oxygen saturation was 22% despite normal values for arterial and central venous oxygen satur...

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Bibliographic Details
Published in:Wiener Klinische Wochenschrift 2003-02, Vol.115 (3-4), p.128-131
Main Authors: Hermon, Michael M, Golej, Johann, Burda, Gudrun, Trittenwein, Gerhard
Format: Article
Language:English
Subjects:
Brain - metabolism
Catheterization
Female
Follow-Up Studies
Humans
Hypoxia, Brain - diagnosis
Hypoxia, Brain - etiology
Infant
Jugular Veins
Monitoring, Physiologic
Near Drowning - diagnosis
Near Drowning - physiopathology
Near Drowning - therapy
Oximetry - methods
Positive-Pressure Respiration
Radiography, Thoracic
Respiratory Insufficiency - etiology
Respiratory Insufficiency - therapy
Time Factors
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Summary:We report on monitoring oxygen saturation with a jugular bulb fiber-optical catheter in an 18-month-old girl after fresh water near-drowning followed by acute respiratory failure. The first measured cerebral oxygen saturation was 22% despite normal values for arterial and central venous oxygen saturation. After conventional therapy had failed to improve cerebral oxygen saturation, we started veno-venous extracorporeal membrane oxygenation. Normal levels of cerebral oxygen saturation were achieved after six hours. The girl was extubated after seven days and discharged after twenty-five days in good general condition and without obvious evidence of neurological damage. We believe that in this case of near-drowning, monitoring cerebral oxygen saturation with a jugular bulb catheter was important for surveillance of cerebral hypoxia.
ISSN:0043-5325
1613-7671
DOI:10.1007/BF03040293