Córdoba-Fernández Antonio, Jiménez-Cristino María Dolores, Mármol-García Francisco Javier, Córdoba-Jiménez Victoria Eugenia
Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, Avicena St. s/n, 41009 Sevilla, Spain.
Podiatric Clínical Area, Universidad de Sevilla, Avicena St. s/n, 41009 Sevilla, Spain.
Reports (MDPI). 2023 Sep 14;6(3):43. doi: 10.3390/reports6030043.
Iatrogenic burns are unpleasant and sometimes difficult to explain to patients. Podiatric surgeons routinely use electrosurgical devices to cut and coagulate tissue during surgical procedures. Although advances in technology have made electrosurgery increasingly safer for patients and personnel, its use is still poorly understood by the surgical community, and the hazards associated with its use still exist presently. Human error, direct or indirect transfer of electricity to a conductive device, or device malfunction can cause serious adverse events, including burns, electrical shocks, and or fires. Here, we report a rare case of a 43-year-old man who suffered severe burns during hallux valgus surgery. The surgeon and the nursing staff did not notice any injuries during the surgical intervention. This unusual clinical case serves to highlight the importance of implementing protocols to prevent injuries related to the use of electrosurgery. Based on this report, a specific checklist was implemented to prevent adverse events related to electrosurgery in our podiatric surgery unit to reduce the risk of electrosurgical complications. The implementation of the checklist can be useful to help health professionals improve patient safety during surgery and avoid potential medico-legal liability claims.
医源性烧伤令人不快，有时很难向患者解释清楚。足外科医生在手术过程中经常使用电外科设备来切割和凝固组织。尽管技术进步已使电外科手术对患者和医护人员来说越来越安全，但手术界对其使用仍了解不足，且目前与使用电外科设备相关的风险依然存在。人为失误、电流直接或间接传导至导电设备或设备故障都可能导致严重不良事件，包括烧伤、电击和/或火灾。在此，我们报告一例罕见病例，一名43岁男性在拇外翻手术期间遭受严重烧伤。手术过程中医生和护理人员均未注意到任何损伤。这一不同寻常的临床病例凸显了实施预防电外科手术相关损伤方案的重要性。基于本报告，我们在足外科病房实施了一份特定检查表，以预防与电外科手术相关的不良事件，降低电外科并发症风险。检查表的实施有助于医护人员在手术期间提高患者安全性，并避免潜在的医疗法律责任索赔。
