电刀基础.pptVIP

基础回顾 病人负极板刀柄电极附件 基础回顾病人负极板 内容 电刀使用中可能发生的潜在皮肤或组织损害 病人负极板 刀柄电极和附件 安全使用建议 评估和选用病人负极板,刀柄电极,附件 Types of Burns Temperature and Irreversible Tissue Damage 交流电烧伤 电流可能引起交流烧伤 其它电流可能引起交流烧伤 皮肤与皮肤接触 刀柄电极与病人负极板间的漏电流 首饰类金属和金属仪器 Return Electrode Site Burns 病人负极板接触不良可能引起烧伤 应用方法不正确 电极表面胶不足 移动或重新安放病人 拉或拉紧电缆 液体浸入 消毒液 冲洗液 体液 病人负极板高阻抗可能引起烧伤 发汗 油性或干性皮肤 肥胖 病人负极板胶脱水 长期曝露在空气中 预加热 病人负极板放置不当 不规则的体表伦廓 骨头凸出部位 Patient Return Electrode Terminology Bovie pad Grounding plate Grounding pad Dispersive electrode Patient pad Contact quality monitoring pad Types of Patient Return Electrodes 电容性的病人负极板 Dry Conductive Adhesive Patient Return Electrodes Benefits Thin and pliable Long shelf life Can store vertically Potentially less expensive than water-based gel and low impedance hydrogel electrodes Wide range of electrode sizes Not all available in contact quality monitoring Limitations Less adherent than gel return electrodes Do not fill in voids on the skin surface May require extensive site preparation May require special positioning to avoid “edge effect” Limits site selection Should not touch the conductive adhesive More susceptible to fluid invasion Water-Based Gel Patient Return Electrodes Benefits Fills in voids on the skin surface Thick coating that adheres to the skin Potentially less expensive than low impedance hydrogel electrodes Pliability allows adherence to patient contours Limitations Must be stored flat to prevent gel migration Shorter shelf life than dry return electrodes May require extensive site preparation May require special positioning to avoid “edge effect” Limits site selection Should not touch the conductive gel Leave a residue 低阻抗水凝胶病人负极板 优点 聚合体底基防止凝胶体流动 可垂直放置 厚涂层提供更好地粘贴于皮肤n 亲水性 缺点 较短的有效期 目前无早产儿规格 价格较贵 低阻抗水凝胶病人负极板 优点 (续) 填满皮肤表面空隙 不留残渣 可接触导体表面 无 “边缘效应” Capacitive (no-gel, no-contact) Patient Return Electrodes Benefits Reusable Environmentally friendly Potential long term cost savings over disposable return electrodes Limitations May create higher impedance at return