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The SAGES Manual on the Fundamental Use of Surgical Energy (FUSE)

Overview

The SAGES Manualon theFundamental Useof Surgical Energy (FUSE) emphasizes good communication and promotes best practice for the use of electrosurgical, ultrasonic, and microwave energy sources in the operating theatre. This manual describes the basic technology of energy sources in the operating room and demonstrates the correct use and indications of energy sources in clinical practice. It also addresses the potential complications, hazards, and errors in the use of surgical energy sources and evaluates the ...

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Overview

The SAGES Manualon theFundamental Useof Surgical Energy (FUSE) emphasizes good communication and promotes best practice for the use of electrosurgical, ultrasonic, and microwave energy sources in the operating theatre. This manual describes the basic technology of energy sources in the operating room and demonstrates the correct use and indications of energy sources in clinical practice. It also addresses the potential complications, hazards, and errors in the use of surgical energy sources and evaluates the potential interactions of energy sources with other medical devices. Any healthcare professional who has ever picked up an energy device in the OR such as a “Bovie” , Ultrasonic or bipolar instrument will better understand how it works, when to apply it, and what are the possible hazards and errors in its use. The SAGES Manual on the Fundamental Use of Surgical Energy (FUSE) is the first volume of its kind to provide such guidance and will be of great value to surgeons, anesthesiologists, nurses, endoscopists, and allied health care professionals who use these devices.

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Editorial Reviews

From The Critics
Reviewer: Jessica K Smith, MD (University of Iowa Hospitals and Clinics)
Description: This detailed manual provides both information about, as well as hands-on instruction for, all of the energy sources currently used in surgery and invasive procedures. It is especially pertinent for those in surgical teaching positions, because surgery residents typically have not had such instruction before they use these devices in the operating room.
Purpose: "The authors' objectives are to provide education about the various surgical energy sources currently in use. Designed for practicing surgeons, the manual teaches the technology behind each device, its proper applications, and safety considerations. For teaching purposes, it also provides instruction for hands-on demonstrations of the various devices. The author's objectives are certainly worthy ones. An understanding of the physics behind the devices means we can use them with increased safety and efficacy. I was not taught this as a surgical resident, and I think the author's aim that trainees should be educated about energy sources before using them is a valid one. This book does meet the above described objectives. "
Audience: Although it is written for practicing surgeons, this book also is suitable for residents and medical students in surgery, as well as operating room nurses.
Features: The book is aptly divided into two parts, the first of which has chapters covering each of the commonly used surgical energy sources. Included in each chapter is a detailed description of the electromechanics involved in the device, followed by its proper application and any tips and safety concerns. Subsequent chapters cover special patient populations, followed by a very important chapter dealing with adverse events related to surgical energy devices. The second part serves as a laboratory manual to create hands-on labs for trainees to demonstrate the use of the various devices. This is something that could be useful as part of a surgical training curriculum. The details of the electromechanics, application, and safety of each device are not currently taught in surgical training, but should be. This is also the best part of the book — it significantly enhances its applicability as an information and instruction manual for surgeons and surgical trainees. The use of color diagrams and photographs, especially in the hands-on demonstrations, is a uniquely attractive feature. The only shortcoming is the overuse of mathematical and physics equations at some points in the book. These would not be critical for most readers.
Assessment: As far as I know, no similar compilation or overview of surgical energy devices exists. This is an extremely useful and relevant book, especially as the number of available devices is steadily increasing. Surgeons will need to know the function, application, and safety profile of the devices they choose to use, as one may have advantages over another to accomplish a particular task.
Doody's Review Service
Reviewer: Jessica K Smith, MD (University of Iowa Hospitals and Clinics)
Description: This detailed manual provides both information about, as well as hands-on instruction for, all of the energy sources currently used in surgery and invasive procedures. It is especially pertinent for those in surgical teaching positions, because surgery residents typically have not had such instruction before they use these devices in the operating room.
Purpose: The authors' objectives are to provide education about the various surgical energy sources currently in use. Designed for practicing surgeons, the manual teaches the technology behind each device, its proper applications, and safety considerations. For teaching purposes, it also provides instruction for hands-on demonstrations of the various devices. The author's objectives are certainly worthy ones. An understanding of the physics behind the devices means we can use them with increased safety and efficacy. I was not taught this as a surgical resident, and I think the author's aim that trainees should be educated about energy sources before using them is a valid one. This book does meet the above described objectives.
Audience: Although it is written for practicing surgeons, this book also is suitable for residents and medical students in surgery, as well as operating room nurses.
Features: The book is aptly divided into two parts, the first of which has chapters covering each of the commonly used surgical energy sources. Included in each chapter is a detailed description of the electromechanics involved in the device, followed by its proper application and any tips and safety concerns. Subsequent chapters cover special patient populations, followed by a very important chapter dealing with adverse events related to surgical energy devices. The second part serves as a laboratory manual to create hands-on labs for trainees to demonstrate the use of the various devices. This is something that could be useful as part of a surgical training curriculum. The details of the electromechanics, application, and safety of each device are not currently taught in surgical training, but should be. This is also the best part of the book — it significantly enhances its applicability as an information and instruction manual for surgeons and surgical trainees. The use of color diagrams and photographs, especially in the hands-on demonstrations, is a uniquely attractive feature. The only shortcoming is the overuse of mathematical and physics equations at some points in the book. These would not be critical for most readers.
Assessment: As far as I know, no similar compilation or overview of surgical energy devices exists. This is an extremely useful and relevant book, especially as the number of available devices is steadily increasing. Surgeons will need to know the function, application, and safety profile of the devices they choose to use, as one may have advantages over another to accomplish a particular task.
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Product Details

  • ISBN-13: 9781461420736
  • Publisher: Springer New York
  • Publication date: 3/7/2012
  • Edition description: 2012
  • Edition number: 1
  • Pages: 266
  • Product dimensions: 5.00 (w) x 8.00 (h) x 0.40 (d)

Meet the Author

Liane S. Feldman, MD, FACS, FRCS(C)
McGill University Health Centre, Montreal, Quebec, Canada Pascal Fuchshuber, MD, PhD, FACS Kaiser Medical Center, Walnut Creek, CA, USA Daniel B. Jones, MD, MS Beth Israel Deaconess Medical Center, Boston, MA, USA

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Table of Contents

Foreword
Preface
Section I. Fundamentals of Surgical Energy
1. Evolutions and Revolutions in Surgical Energy
Steven D. Schwaitzberg
2. Fundamentals of Electrosurgery Part I: Principles of Radiofrequency Energy for Surgery
Malcolm G. Munro
3. Fundamentals of Electrosurgery Part II: Thermal Injury Mechanisms and Prevention
L. Michael Brunt
4. The Art and Science of Monopolar Electrosurgery
C. Randle Voyles
5. Bipolar Electrosurgical Devices
Chan W. Park and Dana D. Portenier
6. Electrosurgical Energy in Gastrointestinal Endoscopy
Brian J. Dunkin and Calvin D. Lyons
7. Ultrasonic Energy Systems
James G. Bittner IV and J. Esteban Varela and co-edited by Daniel Herron
8. Cavitron Ultrasonic Surgical Aspirator (CUSA)
James S. Choi
9. Principles and Safety of Radiofrequency Ablation
Pascal Fuchshuber
10. Principles and Safety of Microwave Ablation
Ryan Z. Swan and David A. Iannitti
11. Surgical Energy Systems in Pediatric Surgery
Gretchen Purcell Jackson
12. Integration of Energy Systems with Other Medical Devices
Stephanie B. Jones and Marc A. Rozner
13. How to Report Adverse Events Related to the Use of Energy Devices in the Operating Room
Charlotte L. Guglielmi
Section II. Enrichment Chapters
14. Fundamentals and Safety of Radiofrequency Electrosurgery
Malcolm G. Munro
15. Art and Science of Monopolar Electrosurgery: Case Studies of Metal-to-Metal Arcing and Single Port Cannula Surgery
C. Randle Voyles
16. Bipolar Station
Dean Mikami
17. Ultrasonic Energy Devices
Dana Portenier
18. Cavitron Ultrasonic Surgical Aspirator (CUSA) and Argon Beam
James S. Choi
19. Radiofrequency Ablation
Pascal Fuchshuber
20. Microwave Devices
Ryan Z. Swan and David A. Iannitti
21. Effects of Monopolar and Bipolar Electrosurgery on Cardiac Implantable Electrical (Pacemakers or Implanted Cardioverter Defibrillator) Devices
Marc A. Rozner and Stephanie B. Jones

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