Acta anaesthesiologica Belgica
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Acta Anaesthesiol Belg · Jan 1978
Case ReportsTwo cases of burns caused by misuse of coagulation unit and monitoring.
Two 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 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.