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[Burns caused by electrocautery during surgery].

S J Wang¹, S M Kang, H S Tso

¹Department of Anesthesiology, Veterans General Hospital-Taichung, Taiwan, R.O.C.

Ma Zui Xue Za Zhi = Anaesthesiologica Sinica

|December 1, 1990

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An emergent tracheal surgery resulted in accidental electrocautery burns. This avoidable surgical complication highlights the importance of careful technique during critical procedures.

Area of Science:

Medical Case Report
Surgical Complications
Trauma Surgery

Background:

A 19-year-old male presented with a severe neck and upper chest crushed injury, necessitating emergent surgical intervention for tracheal laceration.
The patient required immediate surgical restoration of the trachea due to the critical nature of the injury.

Observation:

During the emergent tracheal surgery, the patient sustained accidental first and second-degree electrical burns on the neck and upper back (4% Total Body Surface Area).
These burns were attributed to electrocautery use.

Findings:

The probable cause of the electrocautery-induced burns was a short circuit.
Factors contributing to the short circuit included an over-wetted surgical sheet and EKG leads.

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Implications:

This case underscores the potential for iatrogenic injuries during complex surgical procedures.
Highlights the critical need for meticulous attention to detail and equipment management to prevent avoidable accidents in the operating room.
Emphasizes the importance of safety protocols in managing electrocautery during surgery, particularly in trauma cases.