Faculty Collaboration Database

Cerebral extraction of oxygen, lactate production, and perfusion pressure in gunshot wound to the head: case report. J Trauma 1996 Mar;40(3):445-8

Date

03/01/1996

Pubmed ID

8601865

DOI

10.1097/00005373-199603000-00021

Scopus ID

2-s2.0-0029867838 (requires institutional sign-in at Scopus site)   2 Citations

Abstract

A case of gunshot wound to the head is presented, in which the patient made a satisfactory recovery after a prolonged period of elevated intracranial pressure and increased cerebral extraction of oxygen. Even though cerebral extraction of oxygen was increased in the most acute phase, the arteriojugular lactate difference was never abnormally decreased (ischemic). This finding indicated that, in this patient, increased cerebral extraction of oxygen was not sufficient to result in global cerebral ischemia (increased cerebral lactate production). To our knowledge, this is the first report on frequent serial assessment of cerebral extraction of oxygen and lactate production in severe penetrating head injury.

Author List

Cruz J, Zager EL, Sinson GP, Hoffstad OJ

Author

Grant P. Sinson MD Associate Professor in the Neurosurgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Blood Gas Analysis
Brain Injuries
Brain Ischemia
Cerebrovascular Circulation
Humans
Lactates
Lactic Acid
Male
Oxygen Consumption
Tomography, X-Ray Computed
Wounds, Gunshot