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 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.
Hermon
Michael M
MM
Department of Neonatology and Paediatric Intensive Care, University Children's Hospital, University of Vienna, Vienna, Austria. Michael.Hermon@akh-wien.ac.at
Golej
Johann
J
Burda
Gudrun
G
Trittenwein
Gerhard
G
D001921:Brain / Q000378:metabolism; D002404:Catheterization; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002534:Hypoxia, Brain / Q000175:diagnosis* / Q000209:etiology; D007223:Infant; D007601:Jugular Veins; D008991:Monitoring, Physiologic; D015701:Near Drowning / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D010092:Oximetry / Q000379:methods*; D011175:Positive-Pressure Respiration; D013902:Radiography, Thoracic; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000628:therapy; D013997:Time Factors