It is not uncommon or abnormal to feel apprehensive about having surgery. Often, there are many risks involved with any type of surgery, despite the technological advancements that have been made.
Bipolar technology uses an active electrode and return electrode in the form of a two-poled instrument like forceps or scissors. This is different than monopolar units, which only have one pole.
With bipolar units, the current flows only through the tissue contacted between the two poles. This makes the dispersive electrode unnecessary, and eliminates the possibility of current flows finding an alternative pathway.
The bipolar device also provides exact hemostasis or dissection at the surgical site with less potential stimulation or current spread to nearby body parts. For this procedure, molded, fixed-position pin placement bipolar cords should be used.
If you have both monopolar and bipolar devices, you should keep their cords stored separately so as to prevent any misconnections of active and return electrodes. If the cords get mixed up and a bipolar active electrode cord is connected to a monopolar device, a monopolar current may be activated and cause a patient injury.
There are also ultrasonic devices that can be used. These have a generator that produces ultrasonic energy and mechanical vibrations instead of the electrical energy that is typically used.
This can also help you make the right decision. Of course, you will want to consider whether or not your insurance plan will cover this second visit.
There are some ultrasonic dissectors that have an aspirator that removes tissue or fluids from the surgical field. When using this device, medical personnel should be aware that they do not need a dispersive electrode while the ultrasonic device is in use.
With such a device, no electrical current goes into the tissue so there is no need to have a return electrode because there is nothing to be returned. Be careful as to not inhale any of the aerosols that are generated by the ultrasonic hand piece.
In addition to aerosols, bio-aerosols are also a common thing produced by ultrasonic devices. This can be hazardous for both the patient and medical personnel.
Bio-aerosols have odorless, toxic gases, vapors, viruses, and dead and live cellular debris, such as blood fragments. With such threats, surrounding people are at risk for respiratory, ocular, dermatological, and other health related problems.
Patients or medical personnel run the risk of contracting mutagenic and carcinogenic symptoms. In order to prevent inhalation, some safety measures that can be incorporated include smoke evacuation systems and wall suction with an in-line ultra low penetration air filter.
In addition, you will probably want to find out what the benefits and drawbacks are to undergoing the operation in relation to these other options or choosing not to undergo the surgery at all. In most cases, the drawbacks are probably pretty serious for not undergoing the surgery, but you will want to be able to make an informed decision.
In order to create the safest environment, these instructions should be followed. All safety measures for monopolar electrosurgery should be used when using the technology.
The Argon Enhanced Coagulation unit uses ionized argon gas to deliver a monopolar alternating current to the tissue. Because of this method, there are still risks from monopolar electrosurgery.
The system should be activated to clean the air from the argon gas line and electrode. This cleaning should take place before use, after any moderate delays during use, and between uses.
This will help prevent any delays in coagulation and will minimize the risk of gas embolism. When operating in an open cavity, failing to clean the argon gas line could increase your risks of blocking a blood vessel.
The flow of the argon gas should be limited to the lowest level possible, while still ensuring that it will provide the desired clinical effect. When the initiation of ionization of the argon gas is delayed due to air bubbles in the line, the flow will most likely be directed at the tissue without simultaneous coagulation.
Bipolar technology uses an active electrode and return electrode in the form of a two-poled instrument like forceps or scissors. This is different than monopolar units, which only have one pole.
With bipolar units, the current flows only through the tissue contacted between the two poles. This makes the dispersive electrode unnecessary, and eliminates the possibility of current flows finding an alternative pathway.
The bipolar device also provides exact hemostasis or dissection at the surgical site with less potential stimulation or current spread to nearby body parts. For this procedure, molded, fixed-position pin placement bipolar cords should be used.
If you have both monopolar and bipolar devices, you should keep their cords stored separately so as to prevent any misconnections of active and return electrodes. If the cords get mixed up and a bipolar active electrode cord is connected to a monopolar device, a monopolar current may be activated and cause a patient injury.
There are also ultrasonic devices that can be used. These have a generator that produces ultrasonic energy and mechanical vibrations instead of the electrical energy that is typically used.
This can also help you make the right decision. Of course, you will want to consider whether or not your insurance plan will cover this second visit.
There are some ultrasonic dissectors that have an aspirator that removes tissue or fluids from the surgical field. When using this device, medical personnel should be aware that they do not need a dispersive electrode while the ultrasonic device is in use.
With such a device, no electrical current goes into the tissue so there is no need to have a return electrode because there is nothing to be returned. Be careful as to not inhale any of the aerosols that are generated by the ultrasonic hand piece.
In addition to aerosols, bio-aerosols are also a common thing produced by ultrasonic devices. This can be hazardous for both the patient and medical personnel.
Bio-aerosols have odorless, toxic gases, vapors, viruses, and dead and live cellular debris, such as blood fragments. With such threats, surrounding people are at risk for respiratory, ocular, dermatological, and other health related problems.
Patients or medical personnel run the risk of contracting mutagenic and carcinogenic symptoms. In order to prevent inhalation, some safety measures that can be incorporated include smoke evacuation systems and wall suction with an in-line ultra low penetration air filter.
In addition, you will probably want to find out what the benefits and drawbacks are to undergoing the operation in relation to these other options or choosing not to undergo the surgery at all. In most cases, the drawbacks are probably pretty serious for not undergoing the surgery, but you will want to be able to make an informed decision.
In order to create the safest environment, these instructions should be followed. All safety measures for monopolar electrosurgery should be used when using the technology.
The Argon Enhanced Coagulation unit uses ionized argon gas to deliver a monopolar alternating current to the tissue. Because of this method, there are still risks from monopolar electrosurgery.
The system should be activated to clean the air from the argon gas line and electrode. This cleaning should take place before use, after any moderate delays during use, and between uses.
This will help prevent any delays in coagulation and will minimize the risk of gas embolism. When operating in an open cavity, failing to clean the argon gas line could increase your risks of blocking a blood vessel.
The flow of the argon gas should be limited to the lowest level possible, while still ensuring that it will provide the desired clinical effect. When the initiation of ionization of the argon gas is delayed due to air bubbles in the line, the flow will most likely be directed at the tissue without simultaneous coagulation.
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Want to find out more about electrosurgery equipment, then visit Megadyne's site on how to choose the best electrosurgical device for your surgical needs.
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