Energy Sources in Surgery

41 important questions on Energy Sources in Surgery

Wave energy at frequencies above ____ cycles per second ( hertz) does not interfere with the body's normal bio-electrical activity.

100,00

During surgery the active electrode pencil must be kept _____ on the surgical field.

in a non conductive safety holster

____ materials are used to insulate the material carrying electricity to prevent injury and maintain the flow of electricity within its circuit.

Non conductive
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During the use of electrosurgery or laser surgery, tissue is destroyed or incised, and this process creates toxic smoke called smoke ____, which is known to be highly toxic.

plume

Continuous repetition of high-frequency waves at low voltage is characteristic of the ____ mode

cutting

The PRE must be placed close to the surgical site over _____

Large muscle mass

_____ coupling is a specific burn hazard of monopolar endoscopic surgery when current passes inadvertently through instrument insulation and adjacent conductive material into tissue

Capacitive

The result of constriction of electrical current by a nonconductive material or area of high density transforms electricity into _____.

thermal

When the path of electricity is interrupted by a less-conductive medium, this is called _______

impedance

A ____ is required to manage laser risk and define safety protocols

Laser safety officer

All personal entering a room in which a laser is in use must _____

wear the appropriate eye protection

Protection of the patient during laser surgery would include ____

Protective eye wear and a wet towel

The ____ determines the degree of thermal damage from the laser.

1. Sensitivity of the irradiated tissue
2. amount of tissue affected
3. length of time tissue is expose

The two most common injuries associated with unintentional laser exposure are

eye injury and tissue burn

Cryosurgery is the use of an extremely _____ instrument or substance to destroy tissue

cold

In laser surgery a method of intermittent application of the laser light on the target tissue is called

pulsed wave

______ uses an intensely hot, precisely focused light beam to cut and coagulate tissue

Laser surgery

_____ is a characteristic of laser light in which the frequency of each wave is the same

Coherency

The grounding pad that is applied to the patient to carry electrical current flow from the patient to the power source unit is known as the _____ electrode.

Dispersive or return

______ is the term for complete destruction of tissue

Ablation

The gas, liquid, or solid through which light energy is passed to create a laser beam, contained within the optical resonate chamber, is known as _____

the laser medium

In lasers, a series of mirrors that reflects photons within the optical resonate chamber and causes emission of more photons and the creation of laser energy is known as _____

amplification

The destruction of cataracts using ultrasound technology is called _____

phacomulsification

In electricity, the periodicity of electromagnetic wave is called _____

frequency

______ energy is created when electricity is transformed into mechanical energy to high-frequency vibration and friction

Ultrasonic

All of the waves in laser lights have exactly the same wavelength or color, which is

monochromatic

Laser are distinguished by the functional or biophysical reaction of the _____

target tissue

_______ is a characteristic of laser energy in which some cells absorb the lasing medium whereas others do not. This characteristic prevents the spread of heat (and damage) outside the target tissue.

Selective absorption

_____ electro-cautery can cause electrocution or cardiac arrest

Low frequency

To prevent alternate site burns, the current exits the body through this highly conductive electrode

Patient return electrode

Captures electrical current from the active electrode and transmit it back to the power unit

Patient return electrode

Electrosurgical hand piece or pencil

Active electrode

Current must exit the body to complete the elctrical circuit.

Patient return electrode

It may be activated by a switch located on the pencil or by a foot pedal

Active electrode

Open procedures require tips such as a flat blade, Teflon-coated blade, needle point, ball tip, and loop

Active electrode

Do not place in a position that might cause the return current to cross other bioelectrical devices such as a pacemaker

Patient return electrode

Do not position over a scar or prominent bony surface

Patient return electrode

Endoscopic procedures require long, thin electrodes that can be inserted through a cannula

Active electrode

Stored in sealed packages to keep the gel moist

Patient return electrode

Laser is an acronym for what ?

Light amplification by stimulated emission of radiation

Name some of the 8 types of laser mediums

1. Argon gas (gas)
2. Carbon Dioxide (gas)
3.Excimer (gas)
4. Holmium: YAG (solid)
5. Neodymium: YAG (solid)
6. Ruby and Alexandrite (solid)
7. Potassium-titanyl-phosphate (solid)
5. Tunable Dye (liquid)

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