Electrographic lead I and V5 monitoring could have detected a missed left‐side pneumothorax intraoperatively
Abstract 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 c...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-03-01
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| Series: | Annals of Noninvasive Electrocardiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/anec.13017 |
| _version_ | 1797867558962987008 |
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| author | Chihjen Lee Roya Yumul Colby Vongchaichinsri Kevin Tsai Lena Wang |
| author_facet | Chihjen Lee Roya Yumul Colby Vongchaichinsri Kevin Tsai Lena Wang |
| author_sort | Chihjen Lee |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-09T23:42:03Z |
| format | Article |
| id | doaj.art-dbfc150b0a924292bca77c9daa8aea94 |
| institution | Directory Open Access Journal |
| issn | 1082-720X 1542-474X |
| language | English |
| last_indexed | 2024-04-09T23:42:03Z |
| publishDate | 2023-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Annals of Noninvasive Electrocardiology |
| spelling | doaj.art-dbfc150b0a924292bca77c9daa8aea942023-03-18T05:46:03ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2023-03-01282n/an/a10.1111/anec.13017Electrographic lead I and V5 monitoring could have detected a missed left‐side pneumothorax intraoperativelyChihjen Lee0Roya Yumul1Colby Vongchaichinsri2Kevin Tsai3Lena Wang4Cedars‐Sinai Health System Los Angeles California USACedars‐Sinai Health System Los Angeles California USACedars‐Sinai Health System Los Angeles California USACedars‐Sinai Health System Los Angeles California USACedars‐Sinai Health System Los Angeles California USAAbstract 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.https://doi.org/10.1111/anec.13017electrocardiographic changesintraoperative monitoringnephrectomypneumothorax |
| spellingShingle | Chihjen Lee Roya Yumul Colby Vongchaichinsri Kevin Tsai Lena Wang Electrographic lead I and V5 monitoring could have detected a missed left‐side pneumothorax intraoperatively Annals of Noninvasive Electrocardiology electrocardiographic changes intraoperative monitoring nephrectomy pneumothorax |
| title | Electrographic lead I and V5 monitoring could have detected a missed left‐side pneumothorax intraoperatively |
| title_full | Electrographic lead I and V5 monitoring could have detected a missed left‐side pneumothorax intraoperatively |
| title_fullStr | Electrographic lead I and V5 monitoring could have detected a missed left‐side pneumothorax intraoperatively |
| title_full_unstemmed | Electrographic lead I and V5 monitoring could have detected a missed left‐side pneumothorax intraoperatively |
| title_short | Electrographic lead I and V5 monitoring could have detected a missed left‐side pneumothorax intraoperatively |
| title_sort | electrographic lead i and v5 monitoring could have detected a missed left side pneumothorax intraoperatively |
| topic | electrocardiographic changes intraoperative monitoring nephrectomy pneumothorax |
| url | https://doi.org/10.1111/anec.13017 |
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