التفاصيل البيبلوغرافية
العنوان: |
Electrographic lead I and V5 monitoring could have detected a missed left‐side pneumothorax intraoperatively. |
المؤلفون: |
Lee, Chihjen, Yumul, Roya, Vongchaichinsri, Colby, Tsai, Kevin, Wang, Lena |
المصدر: |
Annals of Noninvasive Electrocardiology; Mar2023, Vol. 28 Issue 2, p1-5, 5p |
مستخلص: |
We present an EKG monitoring strategy to detect pneumothorax during high‐risk surgery. In the literature, EKG changes and pneumothorax are well‐described. However, anesthesiologists only monitor lead II on a three‐lead EKG system in the operating room. In our case, there was only a subtle change in lead II for a left‐sided pneumothorax, which could have been easily missed. On the contrary, there was a marked QRS amplitude reduction and T wave flattening/inversion in lead I and V5. We recommend lead V5 be added to the continuous monitoring and lead I be periodically checked for surgeries known to potentially cause pneumothorax. [ABSTRACT FROM AUTHOR] |
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قاعدة البيانات: |
Complementary Index |