Naik B Naveen, Luthra Ankur, Dwivedi Ashish, Jafra Anudeep
Post Graduate Institute Of Medical Education and Research (PGIMER), Chandigarh, India.
Post Graduate Institute Of Medical Education and Research (PGIMER), Chandigarh, India.
J Electrocardiol. 2017 Jul-Aug;50(4):531-533. doi: 10.1016/j.jelectrocard.2017.03.005. Epub 2017 Mar 14.
Continuous monitoring of 5-lead electrocardiogram is a basic standard of care (included under standard ASA monitor) in the operating room and electrocautery interference is a common phenomenon. Clinical signs, along with monitored waveforms from other simultaneously monitored parameters may provide us clues to differentiate artifacts from true changes on the electrocardiogram. An improved understanding of the artifacts generated by electrocautery and their identifying characteristics is important to avoid misinterpretation, misdiagnosis, and hence mismanagement. This case report highlights the artifacts in electrocardiogram induced by electrocautery.
连续监测五导联心电图是手术室护理的一项基本标准（包含在ASA标准监测范围内），而电灼干扰是一种常见现象。临床体征以及来自其他同时监测参数的监测波形可能为我们提供线索，以区分心电图上的伪迹与真实变化。更好地理解电灼产生的伪迹及其识别特征对于避免错误解读、误诊以及由此导致的错误处理非常重要。本病例报告突出了电灼引起的心电图伪迹。
