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

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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.

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References

  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.

    Article  PubMed  CAS  Google Scholar 

  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.

    Article  Google Scholar 

  3. Armen RN. Frand. TV. Electrocardiographic patterns in pneumothorax. Dis Chest. 1949;15:709–10.

    Article  PubMed  CAS  Google Scholar 

  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.

    Article  PubMed  CAS  Google Scholar 

  5. Botz G, Brock-Utne JG. Are electrocardiogram changes the first sign of impending peri-operative pneumothorax? Anaesthesia. 1992;47:1057–9.

    Article  PubMed  CAS  Google Scholar 

  6. Brock-Utne JG, Botz G. Are electrocardiograms changes the first sign of impending perioperative pneumothorax? Anaesthesia. 1993;48:543–4.

    Article  PubMed  CAS  Google Scholar 

  7. Ruo W, Rupani G. Left tension pneumothorax mimicking myocardial ischemia after percutaneous central venous cannulation. Anesthesiology. 1992;76:306–8.

    Article  PubMed  CAS  Google Scholar 

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Brock-Utne, J.G. (2013). Case 20: Intraoperative Decrease in Electrocardiogram Amplitude: Cause for Concern?. In: Near Misses in Pediatric Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7040-3_20

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  • DOI: https://doi.org/10.1007/978-1-4614-7040-3_20

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7039-7

  • Online ISBN: 978-1-4614-7040-3

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