{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T22:13:39Z","timestamp":1758406419264,"version":"3.41.2"},"reference-count":8,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,22]],"date-time":"2022-11-22T00:00:00Z","timestamp":1669075200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We present an EKG monitoring strategy to detect pneumothorax during high\u2010risk surgery. In the literature, EKG changes and pneumothorax are well\u2010described. However, anesthesiologists only monitor lead II on a three\u2010lead EKG system in the operating room. In our case, there was only a subtle change in lead II for a left\u2010sided pneumothorax, which could have been easily missed. On the contrary, there was a marked QRS amplitude reduction and T wave flattening\/inversion in lead I and V<jats:sub>5<\/jats:sub>. We recommend lead V<jats:sub>5<\/jats:sub> be added to the continuous monitoring and lead I be periodically checked for surgeries known to potentially cause pneumothorax.<\/jats:p>","DOI":"10.1111\/anec.13017","type":"journal-article","created":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T06:54:18Z","timestamp":1669186458000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Electrographic lead I and <scp>V<sub>5<\/sub><\/scp> monitoring could have detected a missed left\u2010side pneumothorax intraoperatively"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3760-2753","authenticated-orcid":false,"given":"Chihjen","family":"Lee","sequence":"first","affiliation":[{"name":"Cedars\u2010Sinai Health System  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roya","family":"Yumul","sequence":"additional","affiliation":[{"name":"Cedars\u2010Sinai Health System  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colby","family":"Vongchaichinsri","sequence":"additional","affiliation":[{"name":"Cedars\u2010Sinai Health System  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Tsai","sequence":"additional","affiliation":[{"name":"Cedars\u2010Sinai Health System  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"Wang","sequence":"additional","affiliation":[{"name":"Cedars\u2010Sinai Health System  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022\u20100736(97)80040\u20104"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542\u2010199611000\u201000032"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcw009"},{"issue":"1","key":"e_1_2_8_5_1","first-page":"21","article-title":"Pneumothorax during anesthesia with changes in ECG","volume":"27","author":"Kleine J. W.","year":"1976","journal-title":"Acta Anaesthesiologica Belgica"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000026793"},{"issue":"6","key":"e_1_2_8_7_1","first-page":"361","article-title":"Electrocardiographic changes in patients with spontaneous pneumothorax","volume":"59","author":"Krenke R.","year":"2008","journal-title":"Journal of Physiology and Pharmacology"},{"issue":"3","key":"e_1_2_8_8_1","first-page":"108","article-title":"ECG changes associated with right\u2010sided pneumothorax","volume":"2","author":"Tsilakis D.","year":"2007","journal-title":"Hospital Chronicles"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12890\u2010021\u201001470\u20101"}],"container-title":["Annals of Noninvasive Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.13017","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/anec.13017","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.13017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T22:42:01Z","timestamp":1692657721000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/anec.13017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,22]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/anec.13017"],"URL":"https:\/\/doi.org\/10.1111\/anec.13017","archive":["Portico"],"relation":{},"ISSN":["1082-720X","1542-474X"],"issn-type":[{"type":"print","value":"1082-720X"},{"type":"electronic","value":"1542-474X"}],"subject":[],"published":{"date-parts":[[2022,11,22]]},"assertion":[{"value":"2022-10-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13017"}}