EORNA2022_Abstract Book

Stavanger, Norway | 12 - 15 May 2022 10th EORNA Congress ePosters 51 eP05 An e-learning course in electrosurgical equipment used in surgery T. Staff1, I. Øen1, A. Horn2, J.-O. Feste Larsen3, R. Skaathun4, M. Sandnes4, A. Viste2 1Haukeland University Hospital, Dep. of Anaesthesia and Intensive Care, Bergen, Norway, 2Haukeland University Hospital, Department of Surgery, Bergen, Norway, 3Haukeland University Hospital, Department of Clinical Engineering, Bergen, Norway, 4Haukeland University Hospital, Department of Research and Development, Bergen, Norway Objectives: Electrosurgical equipment is devices that convert energy from high frequency electric current into heat to incise and coagulate tissue at the point of application. These devices have the potential to cause electro-thermal injury, interfere with implants, etc. The Western Regional Norwegian Health Authority (Helse Vest) is the governmental owner of the regional and community hospitals in its counties. In March 2019, a multidisciplinary group created an e-learning course in electrosurgical equipment. The purpose was to ensure a good understanding of the use of electrosurgical equipment in surgery. Methods: We used guidelines from authorities such as the Norwegian Radiation Protection Authority, the labour inspectorate and the instructions manuals from suppliers of the electrosurgical equipment to design a script. We set the following main learning objectives: • You have theoretical knowledge of diathermy, laser and ultrasonic surgical instruments as well as radiofrequency ablation • You understand the effects of, and are familiar with, the use of high-risk energy instruments • You know that improper use can lead to injuries to patients, personnel and equipment We forwarded the e-learning course for consultation to the chief physician responsible for the education of doctors in the hospital (LIS 2 program), managers and professionals in the fields of operating theatre nursing, professionals in medical technology and the Western Norway University of Applied Sciences’ (HVL) Operating Theatre Nursing Program. Results: The result is an e-learning course for doctors, nurses and radiographers who are in contact with the relevant tools. The e-learning course is located in the Learning Portal in Health region west and documented (automatically) in the Competence Portal. Conclusions: As part of the training of surgeons, operating theatre nurses and others, the course is a simple and important contribution to improving quality and patient safety. This is an interdisciplinary collaboration, which is important for quality in health care. eP06 Cerebral oximetry in cardiac surgery K. Mintzaridis1 1Children Hospital Agia Sophia, Cardiac OR, Athens, Greece Konstantinos Mintzaridis1, Ioannis Koutelekos2 1 RN, Perfusionist, ECCP, MSc, PhD (c), Children Hospital Agia Sophia, Athens, Greece 2 Αssistant Professor, Department of Nursing, University of West Attica Athens, Greece Open heart surgery has become increasingly common since first performed by Gibbon in 1953. Cerebral injury after cardiac surgery is a dreaded outcome and is associated with longer hospital stays, including intensive care unit stays and increased mortality. So there was a need for monitoring of cerebral perfusion during cardiac operations to reduce neurological complications. Cerebral perfusion is a major factor for regional and global imbalance in oxygen supply –demand, which may result in brain injury following cardiac surgery. Cerebral oximetry was developed as a non-invasive technique for a continuous assessment of cerebral blood flow Published studies have demonstrated that cerebral oximetry may help identity vulnerable periods during cardiac operations, which may require immediate intervention to avoid adverse events. Published outcome studies at cerebral oximetry monitoring with active interventions, have demonstrated reduced postoperative cognitive decline and length of hospital stays.

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