Fundamental Use of Surgical Energy (FUSE): Discussion
Panel Keyword(s): adrenal vein, FUSE, GDA, HPB, ileocolic, IMA, Ligasure, linear GI stapler, nephrectomy, right hemicolectomy, splenic artery, vessel sealing device, Whipple
Fundamental Use of Surgical Energy (FUSE): FUSETM Certification Process
Liane Feldman, MD disclosures–27 sec curricular domains–1:33 curriculum delivery–2:50 exam purpose–4:07 creation of valid exam–4:51 beta test participant–7:25 Keyword(s): beta test, bipolar, certification, curriculum, electrosurgery, FUSE, monopolar, Ohms law, RFA, surgical energy, ultrasonic energy, validated examination
PG Fundamental Use of Surgical Energy (FUSE): Energy-based devices – What is the Evidence
Thomas Robinson, MD disclosure–40 sec ultrasonic instruments vs bipolar sealing devices–49 sec citations–1:06 https://www.ncbi.nlm.nih.gov/pubmed/21442611 https://www.ncbi.nlm.nih.gov/pubmed Keyword(s): bipolar, bipolar sealing devices, burst pressure, cautery, EBM, electrocoagulation, energy devices, energy spread, FUSE, Harmonic scalpel, hemostasis, Ligasure, monopolar, plume, residual heat, technology, thermal damage, thermal energy, titanium clips, Ultracision, ultrasonic energy, ultrasonic shears, vascular clips, vessel sealing systems
PG Fundamental Use of Surgical Energy (FUSE): Considerations in Pediatric Surgery
Gretchen Purcell Jackson, MD, PhD anatomic & physiologic considerations–1:32 electrosurgical settings–4:27 dispersive electrode–5:51 electrosurgy in pregnancy–8:20 Keyword(s): adhesive drapes, amniotic fluid, dispersive electrode, electrosurgical devices, energy devices, ET tube, fetus, FUSE, infant, IPEG, neonate, pediatrics, pregnancy
PG Fundamental Use of Surgical Energy (FUSE): Flexible devices for Endoscopy
Thadeus Trus, MD disclosures–1:10 hardware–1:48 pt prep–5:57 principles of electrosurgery–7:59 recommended energy settings–12:47 Keyword(s): APC, argon beam, bipolar, bleeding, coaptive coagulation, direct coupling, electrocautery, ERCP, ESD, fulgarization, hot bx forceps, impedence, Mannitol prep, methane, MPEC, perf, polyp, polypectomy, saline lift, snare, sphincterotomes, sphincterotomy, tissue ablation, upper endoscopy
PG Fundamental Use of Surgical Energy (FUSE): How to Report Adverse Events
Charlotte Gugliemi, BSN, RN, CNOR event reporting–3:58 immediate steps–4:50 due diligence–6:33 risk assessment–7:33 Keyword(s): adverse events, burn, equipment failure, event reporting, FDA, fire extinguisher, FUSE, Joint Commission, MAUDE, Medical Devices Act, near miss, NQF, product safety officer, pt safety, risk assessment, risk management, sentinel event, Silvadene
PG Fundamental Use of Surgical Energy (FUSE): Fires in the Operating Room
William Richardson, MD intro–28 sec explosions–1:45 OR fires–2:21 fire triangle–2:51 OR fires–3:22 citation–4:20 https://www.mdsr.ecri.org/static/surgical_fire_poster.pdf oxidizers–4:34 prevention–5:02 route Keyword(s): airway fires, AORN, compressed air, electrosurgery unit, ET tube, ether, face mask, fiberoptic light source, fire prevention, FUSE, ignition sources, interdisciplinary team, lasers, methane, nasal cannula, NO, O2, OR fires, oxidizers, prep solution, RACE, surgical fires, tracheostomy
PG Fundamental Use of Surgical Energy (FUSE): Cardiac Rhythm Management and Energy-based devices
Stephanie Jones, MD CIEDs–1:01 extent of problem–1:40 EMI–2:09 EMI factors–2:35 https://www.ncbi.nlm.nih.gov/pubmed/?term=10561087 CIED pre-op care–6:15 NBG codes–7:35 citation–8:35 https://www.ncbi.nlm.nih.g Keyword(s): bipolar, cardiologist, CIED, deep brain stimulator, dispersive electrode, electrosurgical device, EMI, endoscopy, implantable defibrillator, magnet, monopolar, NBG codes, pacemaker, RFA, sacral nerve stimulator, surgical energy, ultrasonic shears
PG Fundamental Use of Surgical Energy (FUSE): Ablation Technologies – RFA, Microwave, HIFU
Pascal Fuchshuber, MD RFA vs MWA–1:20 fundamental physics–2:13 deposition of energy–3:38 stages of RFA–5:20 tissue effect–6:46 RFA & dispersive electrode–9:24 indications for ablation–11:10 ablation risks–12 Keyword(s): biliary stricture, biloma, Bovie, dispersive electrode, hematoma, hemorrhage, hepatic abscess, impedence, liver necrosis, monopolar, MWA, palliative, RFA, skin burns, thermal energy, thermal injury, thermal spread, tissue ablation, unresectable lesion
PG Fundamental Use of Surgical Energy (FUSE): Ultrasonic Energy Systems
Daniel Herron, MD disclosures–40 sec mechanical wave energy–49 sec ultrasound energy–1:58 power settings–7:31 cutting vs coag–8:35 temperature in tissue–10:13 advantages–11:31 disadvantages–12:40 troubl Keyword(s): bipolar devices, burst pressure, cavitation, coagulation, coupling, dispersive electrode, EKG, electrical circuit, energy spread, hemostasis, mechanical wave energy, pacemaker, thermal spread, ultrasonic energy, vessel sealing