Burns related to electrosurgery – Report of two cases

Bisinotto, Flora Margarida Barra; Dezena, Roberto Alexandre; Martins, Laura Bisinotto; Galvão, Marina Cordeiro; Sobrinho, José Martins; Calçado, Maida Silva

doi:10.1016/j.bjane.2015.08.018

Cited by 11 publications

(16 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our patient did not require further surgical intervention, but the hospital stay prolonged for five days more than the expected date of discharge. A high vigilance kept for any emerging new burn during her hospital stay as some have delayed appearance, as reported in the literature [7,15]. The patient was treated conservatively in addition to serial follow-up visits and assessments until fully healed by the plastic surgery team and orthopedic spinal team.…”

Section: Discussionmentioning

confidence: 98%

“…ESU burns have the potential to cause morbidity to patients and prolong hospital stay with the need for subsequent surgical interventions as debridement and skin grafting [7,15]. A lawsuit is another aspect that lies a burden on patients and the health care system in these cases [16].…”

Section: Discussionmentioning

confidence: 99%

“…Alternative site burns occur when the patient’s skin is in contact with conductive materials, and the electric currents return to the ground [ 8 , 14 ]. Various studies have reported burns with aberrant circuits at sites of patient uninsulated contact with the surgical table, electrocardiographic leads, motor-evoked potential monitoring electrodes, electroencephalogram electrode placement, and indwelling hardware [ 4 , 8 , 13 , 15 ]. Therefore, great care should be taken to correctly connect the ESU and to make sure that it is functioning properly with no contact between the patient and any other grounding source so the current can travel within the circuit only.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Hand Skin Burn as a Complication of Electrosurgery Use in Prone Position in Surgery: A Case Report

Sultan

Alahmadi

Mohabbat

2020

Cureus

View full text Add to dashboard Cite

Electrosurgery is one of the advances in the surgical field and used commonly. Modern electrosurgical units considered relatively safe. Although rare, inadvertent skin burns due to electrosurgery caused by different mechanisms were reported in the literature. Positioning the patient in prone is required for some surgeries and utilizing this position in a proper manner is essential to avoid complications. We present a case of a 47-year-old female patient who underwent uneventful spinal surgery in a prone position. The patient complained of pain in fingers postoperatively that revealed third-degree skin burn. Plastic surgery was involved in the treatment of burns and the patient followed regularly until fully healed. This case study aims to prompt awareness among surgeons and the staff of the operation-room regarding the unintended burn of patients caused by aberrant circuit related to electrosurgery in prone position.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Hand Skin Burn as a Complication of Electrosurgery Use in Prone Position in Surgery: A Case Report

Sultan

Alahmadi

Mohabbat

2020

Cureus

View full text Add to dashboard Cite

show abstract

“…ESUs are among the most frequently-used and helpful pieces of equipment in surgeries. These units can play a key role in a successful surgery (20); however, incorrect application of ESUs can have many serious consequences for both the patient and the surgical team (5). It is essential that operating room personnel provide care and employ medical equipment based on established codes (21).…”

Section: Discussionmentioning

confidence: 99%

Application of Electrosurgical Units by Operating Room Personnel: Development and Psychometric Testing of an Instrument

et al. 2020

View full text Add to dashboard Cite

Background: Today, electrosurgical units are an indispensable part of surgeries. Yet, inappropriate application of this equipment can result in dire consequences for both the patient and the surgical team. Objectives: The present study aimed at developing the psychometric properties of a checklist to evaluate the application of electrosurgery units by operating room personnel. Methods: The present methodological study was performed in two stages: first, the items of the checklist were developed based on a literature review and search in relevant websites; and second, the psychometric properties of the checklist were measured using the methods to evaluate face, content, and construct validities. The reliability was measured through an assessment of the internal consistency of the checklist, based on the degree of inter-rater agreement. To assess construct validity, the researchers compared known groups; 40 surgeries were observed in two university hospitals in the intervention and control groups. Results: The content validity index (CVI) of all the items was over 0.79. The average CVI (S-CVI/Ave) of the checklist with 32 items was 0.97. The results of the Wilcoxon test showed that the posttest performance scores of the personnel in the intervention group were significantly higher than their pretest scores (P value = 0.005). The internal consistency (the Kuder-Richardson coefficient) of the checklist was 0.66. Conclusions: Due to the great importance of appropriate application of electrosurgery units, a reliable instrument is needed to assess personnel's performance in this area. The results of the current study showed that the present instrument is sufficiently valid and reliable to evaluate the application of electrosurgical units by the operating room personnel.

show abstract

“…However, it is reported that thermal damage caused by surgical device occurs not only at the target site but also in the surrounding tissue [7,8,9,10]. Because thermal damage (coagulation) to neighboring organs may cause postoperative pain and serious complications [11,12,13], it is necessary to evaluate the heating characteristic of tissues surrounding the device. Particularly, a microwave surgical device [14,15,16] is a new device having insufficient survey data compared with conventional surgical devices (e.g., electrical scalpel).…”

Section: Introductionmentioning

confidence: 99%

Coagulated region analysis in a microwave surgical device with temperature-dependent physical properties of tissue

Manago

Saito

2019

IEICE Electron. Express

View full text Add to dashboard Cite

In surgical devices, it is pointed out that tissues around these devices may experience thermal damage (coagulation). Therefore, evaluating the coagulated region generated by a microwave surgical device is an important issue. In this paper, we estimate the distribution of the coagulated region using numerical calculation. Then, there is a possibility that the calculated results will be affected by change to the electrical and thermal constants during heating. Therefore, the temperature dependence of the tissue was considered. As a result, it was confirmed that the coagulation width at the center of the lower blade was 0.5 mm larger than that without temperature dependence.

show abstract

Burns related to electrosurgery – Report of two cases

Cited by 11 publications

References 13 publications

Hand Skin Burn as a Complication of Electrosurgery Use in Prone Position in Surgery: A Case Report

Hand Skin Burn as a Complication of Electrosurgery Use in Prone Position in Surgery: A Case Report

Application of Electrosurgical Units by Operating Room Personnel: Development and Psychometric Testing of an Instrument

Coagulated region analysis in a microwave surgical device with temperature-dependent physical properties of tissue

Contact Info

Product

Resources

About