<原著>近畿大学医学部附属病院中央手術部及びその周辺の環境衛生と安全性 : 第5報 ME機器の安全性について(3) : 術後調査による電気メス熱傷の検討とその対策

概要

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The countermeasures against the burns by electrosurgical unit are one of the important problems of the safety management in surgical operation ward. We have investigated this problem by random sampling just after and one or two days after the operation. The first and the second investigation had been discussed already. This time we have performed the third investigation. There were 17 burn injuries in 180 cases. We found that the radiofrequency current flowing through the ECG electrodes and the operation bed by capacitance coupling might be sufficient to cause burns. To prevent these injuries, we have proposed as follows. 1) Check the devices before and after the operation. 2) The dispersive electrode should be positioned as tightly as possible to the patient skin. 3) The ECG electrodes with large surface area should be used. 4) The radiofrequency current limiting inductors should be inserted in all ECG cables. 5) Regular training course should be required to the operating personnel for the under-standing of the hazards of electrosurgical units and the good practice. 6) The electrosurgical units should be checked regularly for proper operation by the medical engineer or experts of medical electronics.
近畿大学の論文
1983-12-25