Intraoperative Electrode Burns

Overview

Journal J Clin Monit Comput

Publisher Springer

Specialties Anesthesiology
General Medicine
Medical Informatics

Date 2004 May 14

PMID 15139580

Citations 4

Authors

Michael J Russell

Michael Gaetz

Affiliations

Soon will be listed here.

Abstract

Objectives: The purpose of this paper is to increase awareness of electrode burns that occur in the operating room (OR), to discuss their causes, warning signs, and methods that may reduce their occurrence. Two general sources of electrical burns are described: 1) Excessive radio-frequency current density usually originating from a monopolar electrosurgical unit (ESU) and 2) Direct current (DC) originating from a battery or equipment malfunction.

Methods: Case examples associated with intraoperative neuromonitoring are provided and discussed in the context of the relevant literature. Seven cases are described, five associated with excessive radio-frequency current density and two associated with direct current originating from a battery or equipment malfunction.

Conclusions: Recommendations on prevention and warning signs associated with these burns are presented in addition to procedures to follow if a burn is suspected.

Citing Articles

Burn Beneath Only One of 12 Electrodes Applied for Electrocardiographic Monitoring.

Ahuja R, Singh A, Ramam M Indian Dermatol Online J. 2024; 15(6):1017-1018.

PMID: 39640437 PMC: 11616927. DOI: 10.4103/idoj.idoj_799_23.

Safety assessment of electrosurgical electrodes by using mini pig tissue.

Zhang X, Trinh T, Chien P, Giang N, Zhou S, Nam S Heliyon. 2024; 10(15):e35266.

PMID: 39161807 PMC: 11332808. DOI: 10.1016/j.heliyon.2024.e35266.

Operating Light Burn in an Orthopaedic Surgery: A Case Report.

Bansal H, Veeresh V, Mittal S, Trikha V Indian J Orthop. 2022; 56(3):510-513.

PMID: 35251516 PMC: 8854489. DOI: 10.1007/s43465-021-00497-0.

Intraoperative motor evoked potential monitoring: overview and update.

MacDonald D J Clin Monit Comput. 2006; 20(5):347-77.

PMID: 16832580 DOI: 10.1007/s10877-006-9033-0.

References

Stouffer D . Fires during surgery: two fatal incidents in Los Angeles. J Burn Care Rehabil. 1992; 13(1):114-7. View

Leeming M, RAY Jr C, HOWLAND W . Low-voltage, direct-current burns. JAMA. 1970; 214(9):1681-4. View

Smith T, Smith J . Electrosurgery in otolaryngology-head and neck surgery: principles, advances, and complications. Laryngoscope. 2001; 111(5):769-80. DOI: 10.1097/00005537-200105000-00004. View

Balmaseda Jr M, Fatehi M, Koozekanani S, Sheppard J . Burns in functional electric stimulation: two case reports. Arch Phys Med Rehabil. 1987; 68(7):452-3. View

BAKER G, Mani M . Infant monitoring resulting in burns-tissue damage: literature review and case report. J Burn Care Rehabil. 1993; 14(1):113-9. DOI: 10.1097/00004630-199301000-00024. View

. Risk of electrosurgical burns at needle electrode sites. Health Devices. 1994; 23(8-9):373-4. View

Tan K, Hinberg I . Temperature distribution beneath pediatric electrosurgical dispersive electrodes: a model study. Biomed Instrum Technol. 1993; 27(6):506-13. View

Cooper J, Decesare R, DAmbra M . An engineering critical incident: direct current burn from a neuromuscular stimulator. Anesthesiology. 1990; 73(1):168-72. DOI: 10.1097/00000542-199007000-00023. View

Orpin J . Unexpected burns under skin electrodes. Can Med Assoc J. 1982; 127(11):1106. PMC: 1862051. View

10.

Haenggeli A, Richter M, Lehmann W, Dulguerov P . A complication of intraoperative facial nerve monitoring: facial skin burns. Am J Otol. 1999; 20(5):679-82. View

11.

Goldberg S, Solbiati L, Halpern E, Gazelle G . Variables affecting proper system grounding for radiofrequency ablation in an animal model. J Vasc Interv Radiol. 2000; 11(8):1069-75. DOI: 10.1016/s1051-0443(07)61341-4. View

12.

Vilos G, Latendresse K, Gan B . Electrophysical properties of electrosurgery and capacitive induced current. Am J Surg. 2001; 182(3):222-5. DOI: 10.1016/s0002-9610(01)00712-7. View

13.

Irnich W . How to avoid surface burns during electrosurgery. Med Instrum. 1986; 20(6):320-6. View

14.

Lee T, Chen T, Cheng T, Chen S, Chen S, Chou T . Skin injury in the operating room. Injury. 1998; 29(5):345-7. DOI: 10.1016/s0020-1383(97)00171-x. View

15.

Liebler G . Ground versus earth, there is a difference. J Forensic Sci. 1984; 29(2):550-6. View

16.

Vancaillie T . Active electrode monitoring. How to prevent unintentional thermal injury associated with monopolar electrosurgery at laparoscopy. Surg Endosc. 1998; 12(8):1009-12. DOI: 10.1007/s004649900769. View

17.

PEARCE J, Geddes L, Van Vleet J, Foster K, Allen J . Skin burns from electrosurgical current. Med Instrum. 1983; 17(3):225-31. View

18.

. Investigating device-related "burns". Health Devices. 1993; 22(7):334-52. View

19.

DeRosa J, Gadsby P . Radio-frequency heating under ECG electrodes. Med Instrum. 1979; 13(5):273-6. View

20.

Edrich J, COOKSON C . Electrosurgical dispersive electrodes heat cutaneous and subcutaneous skin layers. Med Instrum. 1987; 21(2):81-6. View