• J Clin Monit Comput · Feb 2004

    Case Reports

    Intraoperative electrode burns.

    • Michael J Russell and Michael Gaetz.
    • Aaken Laboratories, Davis, CA 95616, USA. aakenlabs@jps.net
    • J Clin Monit Comput. 2004 Feb 1; 18 (1): 25-32.

    ObjectivesThe 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.MethodsCase 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.ConclusionsRecommendations on prevention and warning signs associated with these burns are presented in addition to procedures to follow if a burn is suspected.

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