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The first 25 slides, exactly as they appear. The full deck has 45 content slides.
Neuro Critical Care
7 Jugular Bulb Oxygen Monitor
Built from Jallo — Neurocritical Care Procedure Atlas
What’s inside
10 sections · 45 slides
Overview
- What this deck will teach you
The Problem We Are Solving
Secondary brain injury and why oxygen monitoring matters
- The brain gets injured twice
- Cerebral oximetry: watching the brain breathe
- Why choose the jugular bulb monitor
- Two ways to sample the jugular bulb
Relevant Anatomy and Physiology
How one vein can speak for the whole brain
- The plumbing of venous drainage
- Inferior skull base venous anatomy
- Why the bulb represents the whole brain
- Finding the dominant side
- Anatomy in three numbers
The Oxygen Balance Sheet
Turning a saturation number into meaning
- Extraction: the core idea
- AVDO2: the detailed version
- CO2E: the bedside shortcut
- What counts as normal
- The target windows
- A treatment target from the evidence
- Reading the two danger directions
- Why extraction runs high (oligemic hypoxia)
- Why extraction runs low (luxury perfusion)
- Know the monitor's blind spots
When to Use It, and When Not To
Indications and contraindications
- Who benefits from SjO2 monitoring
- Contraindications: think before you puncture
Equipment
What you gather before you start
- The kit at a glance
Technique
From skin prep to a sutured, confirmed catheter
- Setup and positioning
- Sterile prep and local anesthesia
- Gaining access: the Seldinger sequence
- Placing the catheter to depth
- Confirming and securing
Complications
What can go wrong, and why
- Recognize the four main complications
Expert Tips and Troubleshooting
Getting trustworthy numbers
- Calibrate slowly, or the numbers lie
- Remember what it can and cannot see
Putting It All Together
The takeaways
- Three things to remember
- Why is a jugular bulb SjO2 reading of 45% concerning?
- References
- Neuro ICU Procedure Atlas