The FUSE didactics are available in Chinese (Simplified), English, Spanish and French to everyone, free-of-charge.
At the end of this program, the participant will be able to:
1. Fundamentals of Electrosurgery
- Define proper electrosurgery terms
- Given a clinical situation, identify the application of Ohm’s Law, power equation, and energy
- Identify the function (input and output) of a radiofrequency (RF) electrosurgical generator
- Identify the characteristics and differences between monopolar and bipolar instruments
- Identify the characteristics of the RF electromagnetic spectrum and why it is used for surgical applications
- Identify how RF electrical energy causes effects in cells and tissue
- Identify the different effects of ranges of temperature on cells and tissue
2. Mechanisms and Prevention of Adverse Events
- Identify general patient protection measures for the electrosurgical unit
- Identify various mechanisms whereby electrosurgical injuries may occur
- Identify circumstances, mechanisms, and prevention of:
- dispersive electrode-related injury
- direct coupling-related injury
- insulation failure-related injury
- injury due to unintentional activation of the active electrode
- injury due to direct thermal extension from the active electrode
- alternate site-related injury
- capacitive coupling/induced current-related injury
- injury from residual heat from the instrument tip
- energy-related single port access injury
- the operative team can suffer a burn injury
- Identify the hazards of the byproducts and smoke produced during electrosurgery
- Identify circumstances which promote OR fires and identify prevention strategies
- Identify circumstances, mechanisms, and prevention of tracheotomy-related fires
- Identify circumstances, mechanisms and prevention of alcohol prep-related fires
- Identify how to respond to an OR fire
- Identify problems that can occur when simultaneously using multiple energy devices
- Identify how to report and handle an adverse device event and meet regulatory requirements
3. Monopolar Instruments
- Maximize the use of current density to achieve the desired tissue effects
- Describe the clinical effects of changing current densities
- Identify the mechanism of action, the proper use of, and potential complications of using argon beam coagulation in electrosurgery
- Identify the strategies for the risk reduction for prevention of argon gas embolism
4. Bipolar Devices
- Identify the characteristics of basic and advanced bipolar electrosurgical instruments
- Identify clinical scenarios when basic bipolar instruments are indicated and identify appropriate power settings for use
- Identify performance optimization methods for advanced bipolar instruments
- Identify the differences between basic bipolar and monopolar instrumentation as relates to coupling, underwater use, current density, and lateral thermal spread
- Identify tissue characteristics that reduce the effectiveness of advanced bipolar instruments
5. Radiofrequency for Soft Tissue Ablation
- Identify the differences between typical radiofrequency electrosurgical and radiofrequency ablation (RFA) systems
- Identify the indications for application of radiofrequency energy for volumetric ablation
- Identify the underlying principles of the volumetric thermal coagulation/RFA system
- Identify circumstances, mechanisms, and prevention of RFA-related injury
6. Endoscopic Devices
- Identify unique energy tools and complications that can occur when used within a visceral lumen
- Identify the steps needed to prepare a patient for an endoscopic procedure that utilizes RF energy
- Identify the steps for safe energy use during a polypectomy
- Identify the steps for safe energy use when controlling bleeding and vessel sealing utilizing RF energy
7. Ultrasonic Energy Devices
- Identify how an ultrasonic generator transforms electrical energy to mechanical energy
- Identify the components of an ultrasonic energy system
- Identify the mechanism by which ultrasonic devices achieve tissue effects
- Identify the factors affecting cutting and coagulation when using ultrasonic devices
- Identify the factors affecting safe practice when using ultrasonic devices
8. Microwave Energy Devices
- Identify the differences between radiofrequency (RF) energy and microwave energy systems
- Identify unique complication patterns associated with microwave ablation and the differences in microwave field zones
9. Energy Devices in Pediatric Surgery
- Identify unique anatomic and physiologic differences when performing electrosurgery in infants and children
- Identify unique considerations for electrosurgical device settings in infants and children
- Identify unique considerations for choice and placement of dispersive electrodes for infants and children
10. Integration of Energy Systems with Other Medical Devices
- Identify implanted devices that are affected by RF energy
- Identify surgical devices that can cause electromagnetic interference (EMI)
- Identify the steps to determine how to use RF energy on a patient (both in the elective and emergent setting) with an implanted electrical device
- Identify strategies to minimize interference from RF energy on a Cardiac Implanted Electronic Device (CIED)
- Identify potential adverse effects of EMI on a CIED during and after the use of RF
- Identify the elements needed for preoperative evaluation, intra-operative monitoring and decision to place a magnet on a patient with a CIED
11. Surgical Smoke and Aerosolization Safety
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