Abstract
The objective of this paper is to review the technical pitfalls associated with the bedside placement of oxygen saturation (O2) catheters into the jugular bulb (JB). A retrospective review was used to gather data on optimum radiographic technique and JB O2 catheter position on 27 patients. Eleven percent (3/27) of the JB O2 catheters required immediate repositioning to prevent serious complications (that is, reliance upon incorrect O2 measurements or venous thrombosis). Radiographic assessment of these catheters is best performed using a portable overpenetrated Stenvers view and a companion overpenetrated lateral radiograph. Computed tomographic scans of the neck or skull base also detected malpositioning of the catheter.
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