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Chapter 106 - Electrical Safety in the Operating Room

from Section 15 - Safety and Ethics

Published online by Cambridge University Press:  03 August 2023

By
Kristen Oswald  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A broken equipment ground wire produces 0.1 milliamperes (mA) of leakage current. This current ultimately conducts through an indwelling right ventricular catheter of a patient undergoing coronary artery bypass graft surgery and causes ventricular fibrillation. Is this an example of microshock or macroshock? How could it have been prevented?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 447 - 449
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 109–37.Google Scholar
Butterworth, JF, Mackey, DC, Wasnick, JD. Morgan & Mikhail’s Clinical Anesthesiology, 6th ed. New York: McGraw-Hill Education, 2018, pp. 17–25.Google Scholar
Faust, JR, Cucchiara, RF, Rose, SH, et al. Faust’s Anesthesiology Review, 3rd ed. Philadelphia: Churchill Livingstone, 2002, pp 247–9.Google Scholar
Hensley, FA, Martin, DE, Gravlee, GP. A Practical Approach to Cardiac Anesthesia, 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2008, pp. 138–40.Google Scholar

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