ABSTRACT
Electrosurgery is a technology developed over the last few years and has become a very important tool in modern surgery. Most of the equipment is considered safe, although there are risks related to its use. Several lesions may be caused by electrocautery, and burns are the most common and feared. We report two cases of burns related to use of electrocautery and promote a literature review, because knowledge of electrosurgery fundamentals, its correct use, the choice of a safety device, constant monitoring, and immediate investigation before any suspicions surely can improve the operational experience for both surgeon and patient.
Subject(s)
Burns, Electric/etiology , Electrosurgery/adverse effects , Postoperative Complications/etiology , Adult , Humans , Infant, Newborn , MaleABSTRACT
The effects of epinephrine added to 0,5 por cent isobaric bupivacaine for spinal anesthesia were investigated in 96 patients ASA Physical Status I or II, aged 15-87 years old, undergoing surgeries below T12. Patients classified in Group A (n=48) received 15 mg of 0,5 por cent isobaric bupivacaine and patients classified in Group B (n=48) received 0,2 mg of epinephrine added to 15 mg of isobaric bupivacaine. The response to the pinprick stimulation did not show significant differences in times to achieve analgesia in L3-L4 and T12 and no differences were observed in terms of cephalic spread of the anesthesia and incidence of complications. Howerever, significant prolongtion of motor block observed in Group B patients who received epinephrine added to isobaric bupivacaine
