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British Journal of Anaesthesia, Vol 81, Issue 2 239-241, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia

SHORT COMMUNICATIONS

Jugular venous desaturation following cardiac surgery

M. J. Souter, PJD. Andrews and R. P. Alston
University Department of Anaesthetics, Royal Infirmary of Edinburgh; Department of Anaesthetics, Western General Hospital, Edinburgh; Department of Anaesthetics, Royal Infirmary of Edinburgh

Twenty-two patients undergoing coronary artery bypass surgery underwent postoperative measurement and recording of jugular venous oxyhaemoglobin saturation (SjO2) with desaturation defined as a value of less than 50% for 5 min or longer. Fifteen of the 22 patients monitored experienced desaturations. An average of four episodes were experienced by those 15 patients (range 1-14). The mean duration of a single episode was 46 (range 5-212) min whilst mean total duration of desaturation was 175 (range 5-570) min. The mean duration of desaturation in the 15 patients, expressed as a percentage of monitored time, was 21.1% (range 0.58%-61.96%). SjO2 desaturation, possibly indicating cerebral hypoperfusion, occurs in the early post-operative period following cardiac surgery.
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