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Didactic Content

The FUSE didactics are available to everyone, free-of-charge, at http://www.fusedidactic.org/

Guide: Users – Viewing Online Content

Online Didactic Computer Requirements

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

  • Discuss general patient protection measures for the electrosurgical unit
  • Describe various mechanisms whereby electrosurgical injuries may occur
  • Determine circumstances, mechanisms, and prevention ofDescribe the hazards of the byproducts and smoke produced during electrosurgery
    • 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 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
  • Increase strategies for responding to an OR fire
  • Discuss problems that can occur when simultaneously using multiple energy devices
  • Increase ability 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

  • Consider anatomic and physiologic differences when performing electrosurgery in infants and children
  • Identify safe and appropriate electrosurgical device settings in infants and children
  • Differentiate between options 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