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Electrosurgical burns in pediatric patients undergoing liver resection with saline‐enhanced radiofrequency technology
Author(s) -
Richtmyer Janis M.
Publication year - 2006
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/s0001-2092(06)60193-2
Subject(s) - medicine , resection , saline , surgery , electrosurgery , blood loss , anesthesia
• 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. • THREE 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. AORN J 83 (March 2006) 658–664.