Outpatient Surgery Magazine

Unsung Heroes - November 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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N O V E M B E R 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 7 3 E lectrosurgical injuries are estimated to occur in 1 to 2 out of every 1,000 laparoscopic proce- dures. That doesn't seem like many, but when you consider about 2 million cases involv- ing surgical energy instru- ments are performed in the U.S. each year, these figures are cause for alarm — and re- education. After all, electro- surgical injuries are preventa- ble. With that in mind, let's look at the most common electrosurgery failures that lead to patient injuries as well as the practical steps you can take to prevent these negative out- comes from taking place at your facility. 1. Insulation breaches Small amounts of current can leak through minute breaks and small cracks in the shaft of an electrosurgical instrument and stray from the intended energy path to cause small electrical burns to non-targeted areas of tissue. Understanding Electrosurgery Safety Practical pointers for protecting patients from stray current and hot instruments. • KNOWLEDGE GAP Surgeons often think they understand surgical energy, but many don't have the formal training needed to truly know how the devices work. Pamela Bevelhymer, RN, BSN, CNOR Leena Khaitan, MD, MPH, FACS | Cleveland, Ohio

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