Patient Return Electrode
ESU Dispersive Pad · Dispersive Electrode · Dispersive Pad · Grounding Pad · Bovie Pad · Return Pad · Pre · Inactive Electrode · REM Pad
A flat, single-use adhesive pad with a conductive gel surface, about the size of a hand, with a tab or cable that plugs into the electrosurgeryee-LEK-troh-SUR-jer-eeUsing high-frequency electric current through a handheld tool to cut tissue or seal bleeding vessels during surgery.Full entry . Split (dual-foil) pads have two separate halves so the generator can check skin contact.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Completes the circuit in monopolar electrosurgeryee-LEK-troh-SUR-jer-eeUsing high-frequency electric current through a handheld tool to cut tissue or seal bleeding vessels during surgery.Full entry . Current goes from the ESU pencil through the patient and leaves through the pad, back to the generator, so it does not exit through a small contact point and burnBURNAn injury to the skin or deeper tissues caused by heat, chemicals, electricity, radiation or friction.Full entry the patient. It is placed by the circulator on every case that uses a monopolar ESU, after final positioning.
Lengths and variants
Adult and pediatric sizes; solid or split pads; with an attached cable or with a tab for a reusable cable. Reusable dispersive electrodes also exist.
What experienced techs know
What techs who reach for it every day know about it.Pro
Through the case
In the order you meet it: before, during and after the case.
- Before the case
Inspection and testing
What to check before it reaches the field.Pro
- During the case
Caution
What not to do with it, and why.Pro
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4 sources
- Fuller JK. Surgical Technology: Principles and Practice. 8th ed. Chapter 15 (Energy Sources in Surgery), p. 299-300 (Box 15.2)
- Rothrock JC. Alexander's Care of the Patient in Surgery. 17th ed. Chapter 8 (Surgical Modalities), p. 221-222
- relinkonline.com
- relinkonline.com
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