The Surgeon Used the Electrosurgical Unit (ESU)in Monopolar Mode to Cut

question 24

Multiple Choice

The surgeon used the electrosurgical unit (ESU) in monopolar mode to cut and coagulate through the subcutaneous tissue on opening the abdomen during a bariatric bypass procedure.As she began to proceed through the muscle and fascia layer,she asked the circulating nurse to increase the cut and coagulation modes on the ESU.Which measure could the scrub person take to enhance energy delivery?

• A) Unwrap the ESU cord from around the towel clamp handle.
• B) Clean the charred tissue from the active electrode blade.
• C) Remind the surgeon that adipose tissue offers less impedance than muscle.
• D) Replace the active electrode blade with a coated blade.

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