Two cases of burns caused by misuse of coagulation unit and monitoring.
Two cases of severe burns with monitoring apparatus are described. In a female patient of 45 years, a severe third degree burn occurred by misuse of coagulation apparatus (inversion of the poles of an older Bovie apparatus), in the presence of a non-floating ECG monitoring device. A high intensity current was established from the coagulation unit, via the earth plate under the buttocks, to the indifferent electrode placed on the chest, where burns occurred. In an 8 month female baby, having laparotomy for a neuroblastoma, a third degree burn of 5 cm diameter occurred with a non-floating ECG monitor. A twin-wired disposable earth plate was placed just beneath the indifferent ECG electrode on the leg. A burning current was established between the Bovie coagulation unit and the monitor.
D002058:Burns, Electric / Q000209:etiology*; D004553:Electric Conductivity; D004562:Electrocardiography / Q000295:instrumentation; D004564:Electrocoagulation / Q000009:adverse effects / Q000295:instrumentation*; D004566:Electrodes; D005260:Female; D006801:Humans; D007223:Infant; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000295:instrumentation*