Document Detail

Electrosurgical burns in pediatric patients undergoing liver resection with saline-enhanced radiofrequency technology.
MedLine Citation:
PMID:  16579122     Owner:  NLM     Status:  MEDLINE    
Use of saline-enhanced radiofrequency (RF) technology reduces blood loss in infants undergoing liver resection. Radiofrequency systems continuously deliver much higher currents for longer periods of time than conventional coagulation instruments and thus increase the risk of complications. Thress infants undergoing liver resection with the newer RF technology at one facility experienced electrosurgical unit (ESU) dispersive pad burns. As a result, an experiment was performed on animal subjects to determine best ESU dispersive pad placement on infants and to gather data on device impedance. Recommendations to prevent burns include central placement of the ESU dispersive pad and activating warming devices only after resection is complete.
Janis M Richtmyer
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  AORN journal     Volume:  83     ISSN:  0001-2092     ISO Abbreviation:  AORN J     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-04-03     Completed Date:  2006-05-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372403     Medline TA:  AORN J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  658-64; quiz 665-7     Citation Subset:  IM; N    
Children's Hospital of Central California, Madera, USA.
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MeSH Terms
Burns, Electric / etiology,  prevention & control*
Catheter Ablation / adverse effects*,  nursing
Electrosurgery / adverse effects*,  instrumentation,  nursing
Intraoperative Complications / etiology,  prevention & control*
Liver Neoplasms / surgery
Perioperative Nursing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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