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
PG Fundamental Use of Surgical Energy (FUSE): Bipolar Devices – Old and New
Dean Mikami, MD disclosures–1:48 frequency–2:35 monopolar–2:46 bipolar–2:59 mushroom effect–3:59 bypass–4:47 limitations of traditional bipolar–15:15 modern bipolar technology–5:58 mechanisms–6:34 d Keyword(s): active electrode, BEST, bipolar, blood sealing vessel devices, capacitance, coaptation, dispersive electrode, electrosurgery, impedence, monopolar, pacemaker, RF, surgical energy, technology, thermal spread, tissue dessication, ultrasonic device
PG Fundamental Use of Surgical Energy (FUSE): Monopolar Devices
Dana Portenier, MD Keyword(s): argon beam, Bovie, current density, dessication, dispersive electrode, electrical circuit, fulguration, gas embolism, monopolar electrosurgery, resistance, thermal effect, vaporization
PG Fundamental Use of Surgical Energy (FUSE): Electrosurgical Safety in Laparoscopy
J. Esteban Varela, MD electrosurgical injuries–59 sec electrosurgical adverse events–2:20 mechanisms of electrosurgical injury–2:27 ESU pt protection measures–2:58 dispersive electrode physics–4:14 current divers Keyword(s): active electrode, adverse events, BDI, Bovie, capacitive coupling, direct coupling, dispersive electrode, electrosurgical injuries, electrosurgical safety, ESU, FUSE, insulation failure, laparoscopy, monopolar, single site laparosocpy, thermal extension, thermal injury
PG Fundamental Use of Surgical Energy (FUSE): Principles of Radiofrequency Electrosurgery
Malcolm Munro, MD disclosures–42 sec objectives–57 sec RF electrosurgery–2:26 cautery–2:57 ESUs–6:44 why use RF?–8:22 direct current–8:54 generator waveforms–9:57 tissue effects–19:29 citation–21:56 Keyword(s): bipolar, capacitive coupling, cautery, coagulation, dessication, direct current, electrosurgery, ESU, fulguration, grounding pad, impedence, monopolar, pacemaker, RF, thermal energy, vaporization
Liane Feldman, Md – Pascal Fuchshuber, MD
Fundamentals for the Use of Surgical Energy (FUSE): Discussion
Liane Feldman, M.D. Keyword(s): APC, bipolar vessel sealing devices, capacitive coupling, CUSA, defibrillator, electrical energy, electrosurgical generator, FUSE, microwave ablation, monopolar cautery, pediatrics, posttest, RFA, SILS, single port, ultrasonic generator
Fundamentals for the Use of Surgical Energy (FUSE): Integration of Energy Systems Other Medical Devi
Stephanie Jones, M.D. Keyword(s): CIED, energy systems, medical devices
Fundamentals for the Use of Surgical Energy (FUSE): Energy Devices in Pediatric Surgery
Gretchen Purcell Jackson, M.D., Ph.D. Keyword(s): FUSE, pediatric surgery
Fundamentals for the Use of Surgical Energy (FUSE): Microwave Energy Systems
David Iannitti, M.D. disclosures–36 sec ablative modalities for hepatic malignancies–51 sec monopolar RFA systems–1:14 electromagnetic spectrum–2:12 MW ablation systems–2:47 energy circuits–4:50 mechanisms of Keyword(s): bipolar, coagulative necrosis, conduction, convection, dessication, monopolar, MWA, radiation, RFA, tissue ablation, tumor ablation
Fundamentals for the Use of Surgical Energy (FUSE): Ultrasonic Energy Systems – Part 2
James Choi, M.D. CUSA–1:47 tissue fragmentation–3:57 tissue strength–5:20 irrigation–7:16 suction–9:40 cooling–10:35 pitfalls–13:12 Keyword(s): CUSA, liver surgery
Fundamentals for the Use of Surgical Energy (FUSE): Ultrasonic Energy Systems – Part 1
J. Esteban Varela, M.D. disclosures–6 sec mechanical wave energy–57 sec mechanical wave types–1:46 ultrasonic generator-2:21 tissue effects–4:36 cutting–5:01 coagulation–5:50 cavitation–6:53 scoring (drilling) Keyword(s): bipolar, cavitation, coagulation, CUSA, enterotomy, laparoscopy, mechanical energy, monopolar, thermal injury, thermal spread, ultrasonic energy
Fundamentals for the Use of Surgical Energy (FUSE)
Discussion (1) – FUSE Keyword(s): endocut, ERBE, ERCP, LC, needle knife, pulse spinchterotome, single incision
Fundamentals for the Use of Surgical Energy (FUSE): Flexible Devices for Endocsopy
Brian Dunkin, M.D. objectives–1:04 circuit modes–2:00 monopolar devices–2:06 bipolar–2:29 pt prep–2:51 polypectomy–3:56 direct coupling–5:40 elevate–6:27 sclerotherapy–6:42 hot bx–7:27 postpolypectom Keyword(s): ABXs, argon beam, argon plasma coag, BE, bipolar, bowel prep, bowel rest, coaptive hemostasis, colonoscopy, CT, direct coupling, dispersive electrode, endocut, endoscopic clips, endoscopy, ERBE, ERCP, foregut, GERD, gold probe, HALO ablation system, heater probe, […]
Fundamentals for the Use of Surgical Energy (FUSE): RF Based Electrosurgical Systems – Bipolar Devic
Dana Portenier, M.D. monopolar–2:42 bipolar–3:35 mushroom effect–4:43 limitations of bipolar–7:51 bipolar technology–8:57 devices–12:07 https://www.ncbi.nlm.nih.gov/pubmed/18483824 best practices–14:15 warnin Keyword(s): bipolar, bipolar RF electrosurgery, Bovie, burst pressure, capacitive coupling, coaptation, desiccation, dispersive electrode, hemostasis, impedance, monopolar, neurosurgery, plume, thermal spread, ultrasonic devices, vessel sealing