The risk of iatrogenic pneumothorax after electromyography

Charles D. Kassardjian, Cullen M. O'Gorman, Eric J. Sorenson

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Introduction: Pneumothorax is a potentially serious complication of electromyography (EMG). Data on the frequency of pneumothorax after EMG are lacking. The purpose of this study was to determine the frequency, timing, and risk factors for iatrogenic pneumothorax after EMG. Methods: Cases of pneumothorax after EMG were reviewed for clinical, electrophysiological, and radiological data. Results: Of 64,490 EMG studies, 7 patients had an association between the EMG and pneumothorax. All patients were symptomatic and presented within 24 hours of EMG. Sampling of serratus anterior and diaphragm was causative in 1 patient each. In 5 patients, multiple high-risk muscles were sampled. The highest frequency of pneumothorax was observed with examination of serratus anterior (0.445%) and diaphragm (0.149%). Conclusions: The frequency of symptomatic iatrogenic pneumothorax after EMG appears to be low, and examinations of serratus anterior and diaphragm carry the highest risk. Electromyographers should be aware of the risk of pneumothorax and should counsel patients accordingly.

Original languageEnglish (US)
Pages (from-to)518-521
Number of pages4
JournalMuscle and Nerve
Volume53
Issue number4
DOIs
StatePublished - Apr 1 2016

Fingerprint

Electromyography
Pneumothorax
Diaphragm
Muscles

Keywords

  • Complications
  • EMG
  • Patient safety
  • Pneumothorax
  • Quality improvement

ASJC Scopus subject areas

  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)
  • Physiology

Cite this

The risk of iatrogenic pneumothorax after electromyography. / Kassardjian, Charles D.; O'Gorman, Cullen M.; Sorenson, Eric J.

In: Muscle and Nerve, Vol. 53, No. 4, 01.04.2016, p. 518-521.

Research output: Contribution to journalArticle

Kassardjian, Charles D. ; O'Gorman, Cullen M. ; Sorenson, Eric J. / The risk of iatrogenic pneumothorax after electromyography. In: Muscle and Nerve. 2016 ; Vol. 53, No. 4. pp. 518-521.
@article{68dfe8c0b27c499e8636030228157425,
title = "The risk of iatrogenic pneumothorax after electromyography",
abstract = "Introduction: Pneumothorax is a potentially serious complication of electromyography (EMG). Data on the frequency of pneumothorax after EMG are lacking. The purpose of this study was to determine the frequency, timing, and risk factors for iatrogenic pneumothorax after EMG. Methods: Cases of pneumothorax after EMG were reviewed for clinical, electrophysiological, and radiological data. Results: Of 64,490 EMG studies, 7 patients had an association between the EMG and pneumothorax. All patients were symptomatic and presented within 24 hours of EMG. Sampling of serratus anterior and diaphragm was causative in 1 patient each. In 5 patients, multiple high-risk muscles were sampled. The highest frequency of pneumothorax was observed with examination of serratus anterior (0.445{\%}) and diaphragm (0.149{\%}). Conclusions: The frequency of symptomatic iatrogenic pneumothorax after EMG appears to be low, and examinations of serratus anterior and diaphragm carry the highest risk. Electromyographers should be aware of the risk of pneumothorax and should counsel patients accordingly.",
keywords = "Complications, EMG, Patient safety, Pneumothorax, Quality improvement",
author = "Kassardjian, {Charles D.} and O'Gorman, {Cullen M.} and Sorenson, {Eric J.}",
year = "2016",
month = "4",
day = "1",
doi = "10.1002/mus.24883",
language = "English (US)",
volume = "53",
pages = "518--521",
journal = "Muscle and Nerve",
issn = "0148-639X",
publisher = "John Wiley and Sons Inc.",
number = "4",

}

TY - JOUR

T1 - The risk of iatrogenic pneumothorax after electromyography

AU - Kassardjian, Charles D.

AU - O'Gorman, Cullen M.

AU - Sorenson, Eric J.

PY - 2016/4/1

Y1 - 2016/4/1

N2 - Introduction: Pneumothorax is a potentially serious complication of electromyography (EMG). Data on the frequency of pneumothorax after EMG are lacking. The purpose of this study was to determine the frequency, timing, and risk factors for iatrogenic pneumothorax after EMG. Methods: Cases of pneumothorax after EMG were reviewed for clinical, electrophysiological, and radiological data. Results: Of 64,490 EMG studies, 7 patients had an association between the EMG and pneumothorax. All patients were symptomatic and presented within 24 hours of EMG. Sampling of serratus anterior and diaphragm was causative in 1 patient each. In 5 patients, multiple high-risk muscles were sampled. The highest frequency of pneumothorax was observed with examination of serratus anterior (0.445%) and diaphragm (0.149%). Conclusions: The frequency of symptomatic iatrogenic pneumothorax after EMG appears to be low, and examinations of serratus anterior and diaphragm carry the highest risk. Electromyographers should be aware of the risk of pneumothorax and should counsel patients accordingly.

AB - Introduction: Pneumothorax is a potentially serious complication of electromyography (EMG). Data on the frequency of pneumothorax after EMG are lacking. The purpose of this study was to determine the frequency, timing, and risk factors for iatrogenic pneumothorax after EMG. Methods: Cases of pneumothorax after EMG were reviewed for clinical, electrophysiological, and radiological data. Results: Of 64,490 EMG studies, 7 patients had an association between the EMG and pneumothorax. All patients were symptomatic and presented within 24 hours of EMG. Sampling of serratus anterior and diaphragm was causative in 1 patient each. In 5 patients, multiple high-risk muscles were sampled. The highest frequency of pneumothorax was observed with examination of serratus anterior (0.445%) and diaphragm (0.149%). Conclusions: The frequency of symptomatic iatrogenic pneumothorax after EMG appears to be low, and examinations of serratus anterior and diaphragm carry the highest risk. Electromyographers should be aware of the risk of pneumothorax and should counsel patients accordingly.

KW - Complications

KW - EMG

KW - Patient safety

KW - Pneumothorax

KW - Quality improvement

UR - http://www.scopus.com/inward/record.url?scp=84961135626&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84961135626&partnerID=8YFLogxK

U2 - 10.1002/mus.24883

DO - 10.1002/mus.24883

M3 - Article

C2 - 26333600

AN - SCOPUS:84961135626

VL - 53

SP - 518

EP - 521

JO - Muscle and Nerve

JF - Muscle and Nerve

SN - 0148-639X

IS - 4

ER -