Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2022
Electrographic lead I and V5 monitoring could have detected a missed left-side pneumothorax intraoperatively.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Lee Chihjen, Yumul Roya, Vongchaichinsri Colby, Tsai Kevin, Wang Lena
Аннотация
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.