Journal article
Loss of Pacer Spikes as electrocardiographic (EKG) Artifact Due to Microdebrider Use During Endoscopic Dacryocystorhinostomy
Ophthalmic plastic and reconstructive surgery, Vol.36(2), pp.e50-E51
03/2020
DOI: 10.1097/IOP.0000000000001562
PMID: 31880683
Abstract
As intraoperative use of electronic equipment becomes more common, familiarity with the potential for electrocardiographic artifact generated by these instruments is increasingly important. The authors' patient underwent endoscopic dacryocystorhinostomy under general anesthesia for treatment of acute on chronic dacryocystitis secondary to acquired nasolacrimal duct obstruction. She had previously had pacemaker placement for treatment of sick sinus syndrome and low ejection fraction heart failure, and use of a microdebrider intraoperatively resulted in loss of pacer spikes and interference signal on electrocardiographic leading to placement of a magnet. Post-operatively, examination of the microdebrider cord revealed a tear that likely lead to the artifactual electrocardiographic signal influencing the decision for magnet placement. Although there were no long-term ill effects, placement of the magnet was an unnecessary intervention that may have been avoided by prompt recognition of artifactual changes that may be induced by intraoperative use of electronic instrumentation.
Details
- Title: Subtitle
- Loss of Pacer Spikes as electrocardiographic (EKG) Artifact Due to Microdebrider Use During Endoscopic Dacryocystorhinostomy
- Creators
- Chau Pham - Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois, U.S.APete Setabutr
- Resource Type
- Journal article
- Publication Details
- Ophthalmic plastic and reconstructive surgery, Vol.36(2), pp.e50-E51
- DOI
- 10.1097/IOP.0000000000001562
- PMID
- 31880683
- ISSN
- 0740-9303
- eISSN
- 1537-2677
- Language
- English
- Date published
- 03/2020
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984111975902771
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