Objective We aimed to describe electrocardiographic (ECG) findings in spontaneous pneumothorax patients before and after closed thoracostomy.
Methods This is a retrospective study which included patients with spontaneous pneumothorax who presented to an emergency department of a tertiary urban hospital from February 2005 to March 2015. The primary outcome was a difference in ECG findings between before and after closed thoracostomy. We specifically investigated the following ECG elements: PR, QRS, QTc, axis, ST segments, and R waves in each lead. The secondary outcomes were change in ST segment in any lead and change in axis after closed thoracostomy.
Results There were two ECG elements which showed statistically significant difference after thoracostomy. With right pneumothorax volume of greater than 80%, QTc and the R waves in aVF and V5 significantly changed after thoracostomy. With left pneumothorax volume between 31% and 80%, the ST segment in V2 and the R wave in V1 significantly changed after thoracostomy. However, majority of ECG elements did not show statistically significant alteration after thoracostomy.
Conclusion We found only minor changes in ECG after closed thoracostomy in spontaneous pneumothorax patients.
Citations
Citations to this article as recorded by
Methods of measurement for pneumothorax in pediatric patients: a systematic review Grant S. Owen, Kelly A. Harmon, Gwyneth A. Sullivan, Hayley J. Petit, Jennifer Westrick, James R. Cameron, Brian C. Gulack, Ami N. Shah Pediatric Surgery International.2024;[Epub] CrossRef
Electrocardiographic manifestations in a large right-sided pneumothorax Hiroyuki Yamamoto, Kazuhiro Satomi, Yoshiyasu Aizawa BMC Pulmonary Medicine.2021;[Epub] CrossRef
Usefulness of the Electrocardiogram in a Patient Presenting with Right-Sided Pneumothorax and Presyncope Lavinia Maria Florescu, Călina-Patricia Țentea, Csilla-Andrea Eötvös, Roxana-Daiana Lazar, Iulia-Georgiana Zehan, Wissam Sabha, Sorin Pop, Doina Adina Todea, Dan Blendea Diagnostics.2021; 11(6): 1069. CrossRef
Electrocardiographic changes in young patients with spontaneous pneumothorax Baruch Klin, Itai Gueta, Haim Bibi, Shaul Baram, Ibrahim Abu-Kishk Medicine.2021; 100(30): e26793. CrossRef
Objective This study investigates the availability and frequency of emergency physician-performed ultrasonography (USG) in the emergency department (ED) and the status of USG training programs in emergency medicine residencies in academic EDs in Korea.
Methods In spring 2014, a link to a 16-question, multiple-choice, and rating scale web-based survey was e-mailed to all 97 academic ED residency training directors in Korea.
Results The response rate was 83.5% (81/97). All respondents had their own USG machines in the ED. In total, 82.7% of respondents reported that emergency physician-performed adult USGs were usually conducted daily, whereas only 23.6% performed pediatric USGs daily. Moreover, 55.5% performed pediatric USG fewer than once a week. 74.1% of respondents had education programs for adult USG in residency training, but only 21.0% had programs for pediatric USG. There was a high association between the presence of education programs and the use of USG in both groups. The faculty members who most commonly participated in teaching ED residents how to perform USG were emergency physicians (67.9%). Only 17.3% of respondents reported that they always supported a quality assurance process. The training directors generally agreed with the advantages in emergency physician-performed USGs.
Conclusion The availability of ultrasound machines was high both for adult and pediatric EDs. Nevertheless, the frequency of Emergency physician-performed USG for pediatric patients was low, which was related to the lack of the training programs for treating pediatric patients.
Citations
Citations to this article as recorded by
POCUS in family medicine/GPs curriculum (basic and advanced level) Mihai Iacob Medic.ro.2023; 3(153): 38. CrossRef
Disponibilités et utilisations de l’échographie clinique dans les structures d’urgences : une étude nationale descriptive, transversale et multicentrique A. Bidault, T. Markarian, P. Pes, X. Bobbia Annales françaises de médecine d’urgence.2023; 13(4): 210. CrossRef
Impact of Insurance Benefits and Education on Point-of-Care Ultrasound Use in a Single Emergency Department: An Interrupted Time Series Analysis Soo-Yeon Kang, Sookyung Park, Ik-Joon Jo, Kyeongman Jeon, Seonwoo Kim, Guntak Lee, Jong-Eun Park, Taerim Kim, Se-Uk Lee, Sung-Yeon Hwang, Won-Chul Cha, Tae-Gun Shin, Hee Yoon Medicina.2022; 58(2): 217. CrossRef
The utility of point of care ultrasonography (POCUS) Ahmed Hashim, Muhammad Junaid Tahir, Irfan Ullah, Muhammad Sohaib Asghar, Haziq Siddiqi, Zohaib Yousaf Annals of Medicine and Surgery.2021; 71: 102982. CrossRef
Diagnostic value of a power Doppler ultrasound-based malignancy index for differentiating malignant and benign solid breast lesions Ali Enshaei, Afshin Mohammadi, SeyedBabak Moosavi Toomatari, Zahra Yekta, SeyedEhsan Moosavi Toomatari, Mohammad Ghasemi-Rad, SaberZafar Shamspour, ZahraKarimi Sarabi, Nariman Sepehrvand Indian Journal of Cancer.2020; 57(1): 44. CrossRef
Point-of-Care Ultrasound Could Streamline the Emergency Department Workflow of Clinically Nonspecific Intussusception Jung Heon Kim, Jeong-Yong Lee, Jae Hyun Kwon, Hyung-Rae Cho, Jong Seung Lee, Jeong-Min Ryu Pediatric Emergency Care.2020; 36(2): e90. CrossRef
Assessing the validity of two-dimensional carotid ultrasound to detect the presence and absence of a pulse Stephen Sanchez, Matthew Miller, Stephen Asha Resuscitation.2020; 157: 67. CrossRef
Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations Bjarte Sorensen, Steinar Hunskaar The Ultrasound Journal.2019;[Epub] CrossRef
The reliability of carotid ultrasound in determining the return of pulsatile flow: A pilot study Biljana Germanoska, Matthew Coady, Sheyin Ng, Gary Fermanis, Matthew Miller Ultrasound.2018; 26(2): 118. CrossRef
A Feasibility Study of Smartphone-Based Telesonography for Evaluating Cardiac Dynamic Function and Diagnosing Acute Appendicitis with Control of the Image Quality of the Transmitted Videos Changsun Kim, Hyunmin Cha, Bo Seung Kang, Hyuk Joong Choi, Tae Ho Lim, Jaehoon Oh Journal of Digital Imaging.2016; 29(3): 347. CrossRef
Comparison of internal jugular vein dilation between Valsalva maneuver and proximal internal jugular vein compression Hyeonjoo Seong, Bora Kang, Giwoon Kim Clinical and Experimental Emergency Medicine.2016; 3(4): 193. CrossRef
Clinical application of real-time tele-ultrasonography in diagnosing pediatric acute appendicitis in the ED Changsun Kim, Bo Seung Kang, Hyuk Joong Choi, Tae Ho Lim, Jaehoon Oh, Youngjoon Chee The American Journal of Emergency Medicine.2015; 33(10): 1354. CrossRef
High Time to Discuss Future-Oriented Telemedicine In Ho Kwon Healthcare Informatics Research.2015; 21(4): 211. CrossRef
First
Prev
