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Korean J Crit Care Med. 2016 Aug;31(3):251-255. English. Case Report. https://doi.org/10.4266/kjccm.2016.00143
Kim Y , Kim CK , Jung S , Ko SB .
Department of Neurology, Kangdong Sacred Heart Hospital, Hallym University Medical Center, Seoul, Korea.
Department of Neurology, Korea University Guro Hospital, Seoul, Korea.
Department of Neurology, Gyeongsang National University Changwon Hospital, Changwon, Korea.
Department of Neurology, Seoul National University Hospital, Seoul, Korea. sangbai1378@gmail.com
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.

Copyright © 2019. Korean Association of Medical Journal Editors.