Learning Theme: Academic/Educational

Perineal necrotic ulcer post Chemo-radiation Therapy for Rectal Cancer

Middle age woman presented with lowrectal cancer received Chemo-radiation Therapy without colostomy. After complete course of radiation Therapy and half of chemotherapy severe painful necrotic wound of anus-vaginal verge and perineum occurred narration unavailable Keyword(s): neoadjuvant chemoradiation, perineal necrotic ulceration, rectal cx

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 http://www.ncbi.nlm.nih.gov/pubmed/21442611 http://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): 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 http://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 http://www.ncbi.nlm.nih.gov/pubmed/?term=10561087 CIED pre-op care–6:15 NBG codes–7:35 citation–8:35 http://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): discussion

Panel Keyword(s): bipolar, Bovie, coagulation, dispersive electrode, electrosurgical injury, ESU, FUSE, Harmonic scalpel, hepatitis, HIV, hyfrecator, monopolar, thermal spread, ultrasonic device, Valleylab

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