Case 20: Intraoperative Decrease in Electrocardiogram Amplitude: Cause for Concern?

  • John G. Brock-Utne
Chapter

Abstract

A 3-year-old boy (28 lb) is scheduled for a left nephrectomy for a Wilms’ tumor. His medical history is unremarkable except for hematuria and an abdominal mass. The patient has no known drug allergies, and the family history is negative for anesthesia-related problems.

Keywords

Sevoflurane Pneumothorax Vecuronium 

References

  1. 1.
    Brock-Utne JG, Brodsky JB, Haddow G, Mark JB. A simple underwater seal apparatus for use in emergencies. J Cardiothorac Vasc Anesth. 1991;5:195–7.PubMedCrossRefGoogle Scholar
  2. 2.
    Marten AM. The electrocardiographic changes in pneumothorax in which the heart has been rotated: the similarity of some of these changes to those indicating myocardial involvement. Am Heart J. 1928;3:472.CrossRefGoogle Scholar
  3. 3.
    Armen RN. Frand. TV. Electrocardiographic patterns in pneumothorax. Dis Chest. 1949;15:709–10.PubMedCrossRefGoogle Scholar
  4. 4.
    Copeland RB, Omenn GS. Electrocardiogram changes suggestive of coronary artery disease in pneumothorax. Their reversibility with upright posture. Arch Intern Med. 1970;125:151–3.PubMedCrossRefGoogle Scholar
  5. 5.
    Botz G, Brock-Utne JG. Are electrocardiogram changes the first sign of impending peri-operative pneumothorax? Anaesthesia. 1992;47:1057–9.PubMedCrossRefGoogle Scholar
  6. 6.
    Brock-Utne JG, Botz G. Are electrocardiograms changes the first sign of impending perioperative pneumothorax? Anaesthesia. 1993;48:543–4.PubMedCrossRefGoogle Scholar
  7. 7.
    Ruo W, Rupani G. Left tension pneumothorax mimicking myocardial ischemia after percutaneous central venous cannulation. Anesthesiology. 1992;76:306–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • John G. Brock-Utne
    • 1
  1. 1.Department of AnesthesiaStanford UniversityStanfordUSA

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