Types of Electrocardiography Electrode Adhesive Materials on Electrocardiography Monitoring during Anesthesia
Keywords:
anesthesia,, ECG electrode,, monitoringAbstract
Background: During anesthesia, electrocardiography (ECG) monitoring via electrode pads on the skin is necessary. They are many types of ECG electrode adhesive materials such as paper, polyester, plastic, and foam. Objectives: To study the effect of ECG electrode adhesive materials on ECG monitoring in terms of number of ECG electrode pads per case, ECG quality, user satisfaction, and cost. Methods: We did a randomized controlled trial that studied in patients with age between 18-80 years old, ASA class I-III who received anesthesia at Srinagarind hospital between October and December 2019. We excluded patients who had burned, abnormal ECG, and ischemic heart disease. We stratified patients into the chest, abdomen surgical area group and head, neck, extremities surgical area group for random allocation to receive either paper, polyester, plastic, or foam electrode pads. ECG monitoring was 3 leads placement that connected to minimized interference ECG cable in monitoring mode. We recorded the number of ECG electrode pads per case, ECG quality, user satisfaction, and cost. Results: We included 280 patients into study. Gender, age, ASA classification, surgical position, and duration of anesthesia were comparable. There was no statistically significant difference in number of ECG electrode pads per case, ECG quality. However, paper group and polyester group had higher cost than foam group (p<0.001).And in the head, neck, extremities surgical area group, plastic group had higher user satisfaction than foam group (p=0.007). Conclusions: Types of ECG electrode adhesive materials had no advantage in number of ECG electrode pads per case, ECG quality, and user satisfaction. However, paper group and polyester group had higher cost than others. Keywords: anesthesia, ECG electrode, monitoring
References
ischemia, and myocardial infarction. In: Miller RD, ed. Miller’s
Anesthesia. 8th edition. Philadelphia: Elsevier Saunders.
2015: p. 1429-59.
2. Al-Saikh B, Stacey S. Non-invasive monitoring. In: Al-Saikh
B, Stacey S, eds. Essentials of anaesthetic equipment. 4th
edition. London: Churchill Livingstone. 2013: p. 145-75.
3. Boonmak P, Boonmak S, Sathitkarnmanee T, Chau-In W,
Nonlhaopol D, Thananun M. Surveillance of anesthetic
related complications at Srinagarind Hospital, Khon Kaen
University, Thailand. J Med Assoc Thai 2005; 88: 613-22.
4. Kligfield P, Gettes LS, Bailey JJ, et al. Recommendations for the
standardization and interpretation of the electrocardiogram:
part I: the electrocardiogram and its technology a scientific
statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical
Cardiology; the American College of Cardiology Foundation;
and the Heart Rhythm Society endorsed by the International
Society for Computerized Electro cardiology. J Am Coll
Cardiol 2007; 49: 1109-27.
5. Ask P, Oberg PA, Odman S, Tenland T, Skogh M. ECG
electrodes. A study of electrical and mechanical long-term
properties. Acta Anaesthesiolo Scand 1979; 23: 189-206.
6. Olson WH, Schmincke DR, Henley BL. Time and frequency
dependence of disposable ECG electrode-skin impedance.
Medical Instrumentation 1979; 13: 269-72.
7. 3MTM red dotTM ECG electrodes reference guide brochure.
3M Health Care [Internet]. [cited 2020 December 14].
Available from: www.3M.com/RedDot.
8. Skintact® ECG electrodes for diagnosis & monitoring.
Leonhard Lang [Internet]. [cited 2020 December 14].
Available from: www.skintact.com.
9. 3MTM red dotTM Troubleshooting ECG traces guide. 3M Health
Care [Internet]. [cited 2020 December 14]. Available from:
www.3M.com/RedDot.
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