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Fundamental Use of Surgical Energy (FUSE)

A SAGES Fundamentals Program

FUSE Elsewhere

In the News

Popular Surgeries Can Carry Risk of Being Burned

Articles

Joint Commission Resource’s Environment of Care News (May 2023, Volume 26, Issue 5, Page 12-16): Making Electrosurgery Safer: Surgeons and other OR team members traditionally lack robust training on the hazards of using surgical energy devices. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) bridges this gap with its Fundamental Use of Surgical Energy (FUSE) certification program for surgeons and hospital compliance modules for all OR team members.

Particle Size Distributions in Surgical Smoke Generated by Advanced Energy Devices

Educational value of telementoring for a simulation-based fundamental use of surgical energy™ (FUSE) curriculum: a randomized controlled trial in surgical trainees

An Unmodulated Very-Low-Voltage Electrosurgical Technology Creates Predictable and Ultimate Tissue Coagulation: From Experimental Data to Clinical Use

Repeated partial tissue bite with inadequate cooling time for an energy device may cause thermal injury

Spanish FUSE Article published in the Latin American Journal El Hospital. The FUSE article is located on pages 24-25

Immersive virtual reality-based training improves response in a simulated operating room fire scenario

The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose

[German] Das SAGES FUSE Programm: Ein Ansatz zur Vermeidung von Komplikationen im OP

Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety

SAGES Fuse Program and Dr. Dan Jones in Wall Street Journal Article

New curriculum aims to reduce hazards of energy devices in the OR

The SAGES FUSE program: bridging a patient safety gap

Structured simulation improves learning of the Fundamental Use of Surgical Energy™ curriculum: a multicenter randomized controlled trial.

Fundamental Use of Surgical Energy (FUSE): Closing a Gap in Medical Education

Surgeons have knowledge gaps in the safe use of energy devices: a multicenter cross-sectional study

Fundamental Use of Surgical Energy™ (FUSE): a on surgical energy-based devices

Impact of a hands-on component on learning in the Fundamental Use of Surgical Energy™ (FUSE) curriculum: a randomized-controlled trial in surgical trainees

Delayed Manifestations of Laparoscopic Bowel Injury

FUSE: A Surgeon’s Guide To Understanding Energy Devices

Duodenal Injury Post Laparoscopic Cholecystectomy Incidence, Mechanism, Management and Outcome

FUSE Manual

To obtain a copy of the FUSE Manual, please click here: https://link.springer.com/book/10.1007/978-1-4614-2074-3

Supporting Literature

    • Surg Endosc, 2016: 30;4995-5001 Insulation failure in electrosurgery instrumentation: a prospective evaluation
    • Schwaitzberg, D.Jones, S.B.Jones, L.Feldman, M.Munro, M.Rozner †, C. Gugliemi, Linda Groah, R. Lim, T.Robinson, A.Madani, M.Brunt, D.Mikami, B.Dunkin, G.Purcell-Jackson, J. Mischna, C.R.Voyles, P.Fuchshuber. The SAGES Fundamentals of Surgical Energy Program (FUSE) – History, Development and Purpose. (Accepted for publication)
    • Sankaranarayanan G, Resapu RR, Jones DB, Schwaitzberg S, De S. Common uses and cited complications of energy in surgery. Surg Endosc. 2013; 27(9): 3056-3072.
    • Schwaitzberg SD. Evolution and revolutions in surgical energy. In: Feldman LS, Fuchshuber P, Jones DB, eds. The Fundamental Use of Surgical Energy (FUSE) Manual. New York, NY: Springer; 2012:3.
    • Fuchshuber PR, Robinson TN, Feldman LS, Jones DB, Schwaitzberg SD.The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014 Sep;99(9):18-27.
    • Madani A, Jones DB, Fuchshuber P, Robinson TN, Feldman LS. Fundamental Use of Surgical Energy™ (FUSE): a curriculum on surgical energy-based devices. Surg Endosc. 2014 Sep;28(9):2509-12.
    • Robinson TN, Olasky J, Young P, Feldman LS, Fuchshuber PR, Jones SB, Madani A, Brunt M, Mikami D, Jackson GP, Mischna J, Schwaitzberg S, Jones DB. Fundamental Use of Surgical Energy (FUSE) certification: validation and predictors of success. Surg Endosc. 2016 Mar;30(3):916-24.
    • Madani A, Watanabe Y, Vassiliou MC, et al. Impact of a hands-on component on learning in the Fundamental Use of Surgical Energy (FUSE) curriculum: A randomized-controlled trial in surgical trainees. Surg Endosc. May 2, 2014. [Epub ahead of print].
    • Madani A, Watanabe Y, Townsend N, Pucher PH, Robinson TN, Egerszegi PE, Olasky J, Bachman SL, Park CW, Amin N, Tang DT, Haase E, Bardana D, Jones DB, Vassiliou M, Fried GM, Feldman LS. Structured simulation improves learning of the Fundamental Use of Surgical Energy™ curriculum: a multicenter randomized controlled trial. Surg Endosc. 2016 Feb;30(2):684-91.
    • Madani A, Watanabe Y, Vassiliou MC, Fuchshuber P, Jones DB, Schwaitzberg SD, Fried GM, Feldman LS. Long-term knowledge retention following simulation-based training for electrosurgical safety: 1-year follow-up of a randomized controlled trial. Surg Endosc. 2016 Mar;30(3):1156-63
    • Allen BF, Schwaitzberg SD, Jones DB, De S. Toward the development of a virtual electrosurgery training simulator. Stud Health Technol Inform. 2014;196:11-13.
    • Dorozhkin D, Olasky J, Jones DB, Schwaitzberg SD, Jones SB, Cao CG, Molina M, Henriques S, Wang J, Flinn J, De S; SAGES FUSE Committee OR fire virtual training simulator: design and face validity.Surg Endosc. 2016 Dec 30
    • Sankaranarayanan G, Li B, Miller A, Wakily H, Jones SB, Schwaitzberg S, Jones DB, De S, Olasky J Face validation of the Virtual Electrosurgery Skill Trainer (VEST©). Surg Endosc. 2016 Feb;30(2):730-8.
    • Allen BF, Jones DB, Schwaitzberg SD, Suvranu D. Survey-based analysis of fundamental tasks for effective use of electrosurgical instruments. Surg Endosc. 2014 Apr;28(4):1166-72.
    • Townsend NT, Jones EL, Overbey D, Dunne B, McHenry J, Robinson TN. Single-incision laparoscopic surgery increases the risk of unintentional thermal injury from the monopolar “Bovie” instrument in comparison with traditional laparoscopy. Surg Endosc2017;31:3146-3151.
    • Jones EL, Madani A, Overbey DM, Kiourti A, Bojja-Venkatakrishnan S, Mikami DJ, Hazey JW, Arcomano TR, Robinson TN. Stray energy transfer during endoscopy. Surg Endosc
    • Townsend NT, Nadlonek NA, Jones EL, McHenry JR, Dunne B, Stiegmann GV, Robinson TN. Unintended stray energy from monopolar instruments: beware the dispersive electrode cord. Surg Endosc2016;30:1333-6.
    • Townsend NT, Jones EL, Paniccia A, Vandervelde J, McHenry JR, Robinson TN. Antenna coupling explains unintended thermal injury caused by common operating room monitoring devices.Surg Laparosc Endosc Percutan Tech2015;25:111-3.
    • Robinson TN, Jones EL, Dunn CL, Dunne B, Johnson E, Townsend NT, Paniccia A, Stiegmann GV. Separating the Laparoscopic Camera Cord From the Monopolar “Bovie” Cord Reduces Unintended Thermal Injury From Antenna Coupling: A Randomized Controlled Trial. Ann Surg2015;261:1056-60.
    • Robinson TN, Varosy PD, Guillaume G, Dunning JE, Townsend NT, Jones EL, Paniccia A, Stiegmann GV, Weyer C, Rozner MA. Effect of radiofrequency energy emitted from monopolar “Bovie” instruments on cardiac implantable electronic devices. J Am Coll Surg2014;219:399-406.
    • Paniccia A, Rozner M, Jones EL, Townsend NT, Varosy PD, Dunning JE, Girard G, Weyer C, Stiegmann GV, Robinson TN. Electromagnetic interference caused by common surgical energy-based devices on an implanted cardiac defibrillator. Am J Surg2014;208:932-6; discussion 935-6.
    • Jones EL, Dunn CL, Townsend NT, Jones TS, Bruce Dunne J, Montero PN, Govekar HR, Stiegmann GV, Robinson TN. Blend mode reduces unintended thermal injury by laparoscopic monopolar instruments: a randomized controlled trial. Surg Endosc2013;27:4016-20.
    • Govekar HR, Robinson TN, Varosy PD, Girard G, Montero PN, Dunn CL, Jones EL, Stiegmann GV. Effect of monopolar radiofrequency energy on pacemaker function.Surg Endosc2012;26:2784-8.
    • Jones EL, Robinson TN, McHenry JR, Dunn CL, Montero PN, Govekar HR, Stiegmann GV. Radiofrequency energy antenna coupling to common laparoscopic instruments: practical implications. Surg Endosc2012;26:3053-7.
    • Robinson TN, Barnes KS, Govekar HR, Stiegmann GV, Dunn CL, McGreevy FT. Antenna coupling–a novel mechanism of radiofrequency electrosurgery complication: practical implications. Ann Surg2012;256:213-8.
    • Montero PN, Robinson TN, Weaver JS, Stiegmann GV. Insulation failure in laparoscopic instruments. Surg Endosc2010;24:462-5.
    • Robinson TN, Pavlovsky KR, Looney H, Stiegmann GV, McGreevy FT. Surgeon-controlled factors that reduce monopolar electrosurgery capacitive coupling during laparoscopy.Surg Laparosc Endosc Percutan Tech2010;20:317-20.
    • Jones EL, Overbey DM, Chapman BC, Jones TS, Hilton SA, Moore JT, Robinson TN.Operating Room Fires and Surgical Skin Preparation. J Am Coll Surg. 2017 Jul;225(1):160-165.
    • Govekar HR, Robinson TN, Stiegmann GV, McGreevy FT. Residual heat of laparoscopic energy devices: how long must the surgeon wait to touch additional tissue? Surg Endosc. 2011 Nov;25(11):3499-502.
    • Ulmer BC. What Is Your Energy IQ? FUSE: Bridging a Patient Safety Gap. AORN J. 2016 Mar;103(3):333-7.
    • Jones DB, Brunt LM, Feldman LS, Mikami DJ, Robinson TN, Jones SB Safe energy use in the operating room. Curr Probl Surg. 2015 Nov;52(11):447-68.
    • Jones SB, Munro MG, Feldman LS, Robinson TN, Brunt LM, Schwaitzberg SD, Jones DB, Fuchshuber PR Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety. Perm J. 2017;21:34-45.
    • Fuchshuber PR, Robinson TN, Feldman LS, Brunt LM, Madani A, Jones SB, Rozner MA, Munro MG, Mishna J, Schwaitzberg SD, Jones DB.Fundamental Use of Surgical Energy (FUSE): Closing a Gap in Medical Education. Ann Surg. 2015 Jul;262(1):20-22.
    • Fuchshuber, P. Das SAGES FUSE Programm: Ein Ansatz zur Vermeidung von Komplikationen im OP. Chirurgen Magazin 2017; 84; 46-49
    • Fuchshuber, PR, Schwaitzberg, SD, Rabrenovich, V, Feldman, LS, Jones, DB. Brief Update on Surgical Safety and Outcomes: NSQIP and FUSE. E-memoirs of the National Academy of Surgery, 2014, 13 (4): 064-069
    • Voyles CR, Tucker RD. Education and engineering solutions for potential problems with laparoscopic monopolar electrosurgery. Am J Surg. 1992;164(1):57-62.
    • Tucker RD, Voyles CR. Laparoscopic electrosurgical complications and their prevention. AORN J. 1995:62(1):51-59.
    • Munro MG. Economics and energy sources. J Minim Invasive Gynecol. 2013 May Jun; 20(3): 319-27.
    • Munro MG Electrosurgery research. Am J Obstet Gynecol. 2012 Jun;206(6):e6-7; author reply e7-8
    • FUSE blog DPS 2017 https://www.dps-medical.de/blog/das-fuse-programm/
    • Feldman LS, Fuchshuber P, Jones DB, Mischna J, Schwaitzberg SD; FUSE (Fundamental Use of Surgical Energy™) Task Force. Surgeons don’t know what they don’t know about the safe use of energy in surgery. Surg Endosc. 2012 Oct;26(10):2735-9. Epub 2012 Apr 27
    • Schwaitzberg SD, Jones DB.  Don’t get burned from lack of knowledge. Ann Surg. 2012 Aug;256(2):219-2
    • Feldman, Liane; Fuchshuber, Pascal; Jones, Daniel B.; The SAGES Manual on the Fundamental Use of Surgical Energy (FUSE). (Eds.) 2012, Springer Verlag NY, NY
    • Feldman LS, Brunt LM, Fuchshuber P, Jones DB, Jones SB, Mischna J, Munro MG, Rozner MA, Schwaitzberg SD; SAGES FUSE (Fundamental Use of Surgical Energy™) Committee. Rationale for the Fundamental Use of Surgical Energy™ (FUSE) curriculum assessment: focus on safety.  Surg Endosc. 2013; 27(11):4054-4059.
    • Pascal Fuchshuber MD, Stephanie B Jones MD, Daniel B Jones MD, Liane S Feldman MD, Steven Schwaitzberg MD, Marc Rozner PhD, MD; Ensuring Safety in the Operating Room – The “Fundamental Use of Surgical Energy” (FUSE) Program. International Anesthesiology Clinics 2013, Vol 51, No 4, Fall; 51(4):65-80.
    • Akira Chikamoto et al. Surg Endosc 2016;30:1519-1522
      Heast Injury to the inferior vena cava by bipolar tissue sealer
    • Nicole T Townsend et al. Surg Endosc. 2016;30:1333-1336
      Unintended stray energy from monopolar instruments: beware the dispersive electrode cord

FUSE on SAGES TV

Fundamental Use of Surgical Energy PG Course
Fundamental Use of Surgical Energy PG Course