First Year Fellows Endoscopy Course (August 2-3)

7-Electrocautery_2024

Pdf Summary

This document provides an overview of Electrocautery, emphasizing its potential danger in endoscopy procedures. It explains the basics of Electrosurgical Generators, how heat is produced using high-frequency alternating current, and the principles of electrocautery including cutting and coagulation effects on tissues based on temperature. It discusses the importance of current density, proper grounding pad safety rules, and considerations for patient safety such as placement of grounding pads and the impact of hair. The document also touches on the difference between bipolar and monopolar electrocautery techniques, emphasizing the need for physicians to have a thorough understanding of the equipment and not rely solely on support staff. Furthermore, it includes safety guidelines for patients with pacemakers and the availability of emergency equipment like a defibrillator during procedures. Additionally, the use of Argon Plasma Coagulation (APC) is explained, detailing its advantages, applications, and settings. The emphasis throughout is on the responsibility of the physician to understand the electrical concepts, setup of equipment, and ensure patient safety during electrocautery procedures.

Keywords

Electrocautery

Endoscopy procedures

Electrosurgical Generators

High-frequency alternating current

Electrocautery principles

Current density

Grounding pad safety rules

Patient safety considerations

Bipolar electrocautery

Monopolar electrocautery