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Acta Anaesthesiol Belg · Jan 1978
Case ReportsTwo cases of burns caused by misuse of coagulation unit and monitoring.
- G Rolly.
- Acta Anaesthesiol Belg. 1978 Jan 1; 29 (3): 313-6.
AbstractTwo cases of severe burns with monitoring apparatus are described. In a female patient of 45 years, a severe third degree burn occurred by misuse of coagulation apparatus (inversion of the poles of an older Bovie apparatus), in the presence of a non-floating ECG monitoring device. A high intensity current was established from the coagulation unit, via the earth plate under the buttocks, to the indifferent electrode placed on the chest, where burns occurred. In an 8 month female baby, having laparotomy for a neuroblastoma, a third degree burn of 5 cm diameter occurred with a non-floating ECG monitor. A twin-wired disposable earth plate was placed just beneath the indifferent ECG electrode on the leg. A burning current was established between the Bovie coagulation unit and the monitor.
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