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Dr. Owen
Dr. Owen, Doctor
Category: Health
Satisfied Customers: 55754
Experience:  Board Certified Physician and US Medical School Graduate
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What is the appropriate placement for the bovie pad during

Resolved Question:

What is the appropriate placement for the bovie pad during an RFL when the pt has bilateral hip protheses?
Marti Potter
Administrator-Jersey Shore ASC
Submitted: 7 years ago via Patientsville.
Category: Health
Expert:  Dr. Owen replied 7 years ago.
The Bovie pad can be placed just about anywhere on the body - this is just a grounding pad to provide for monopolar cautery. So, with bilateral hip replacement - this can be placed on the buttocks.
Customer: replied 7 years ago.
In this instance, it is not for use with cautery but to conduct the radio frequency current. I have been told that there is a danger of "overheating" the prothesis if it is placed on the thigh or buttocks. I have also been told that it should be placed on the opposite side of the RFL site. Neither of these statements have been from an expert in the field.
Expert:  Dr. Owen replied 7 years ago.
Very unlikely to over heat the metal of the prostesis UNLESS there is arching - hence the buttocks which is many inches away should be a safe area. As long as the ground (the pad) is a minimum of 6 inches away from the metal then this should be fine.
Customer: replied 7 years ago.
I'm not sure that in an elderly patient, the buttocks would be 6 in away from the ground pad. She doesn't have a lot of "padding".
Expert:  Dr. Owen replied 7 years ago.
You can always place the pad higher on the back as long as there is a good contact point. In other words, make sure there is no looseness of the pad whatsoever so there is no arcing.
Customer: replied 7 years ago.
The RFL procedure is on the lumbar spine. The surgeon does not want the pad on the pt's back.
Expert:  Dr. Owen replied 7 years ago.
Another option is to place the bovie pad high on the back such as the shoulder area - try to stay away from the extremities as this can cause arcing.
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