A general outline of typical OFFICE ESU power settings

Low power – under 30 watts – for office or minor procedures

  • Neurosurgery (bipolar and monopolar)
  • Laparoscopic sterilization (bipolar and monopolar)
  • Vasectomies
  • Dermatology
  • Oral surgery
  • Plastic surgery

If the power setting isn’t known from personal experience, the generator should be set at a very low setting and power cautiously increased until the desired effect is achieved.

A general outline of typical MAJOR O.R. ESU power settings

Medium power – coag 30-70 watts, cut 30-150 watts –  major OR

  • General surgery
  • Laparotomies
  • Head and neck surgery (ENT)
  • Major orthopedic surgery
  • Major vascular surgery
  • Routine thoracic surgery
  • Polypectomy

High power – coag over 70 watts, cut over 150 watts –  major OR

  • Transurethral resections (cut 120-300 watts, coag 50-120 watts, depending on the thickness of the resection loop and the technique of the surgeon)
  • Thoracotomies (heavy fulguration, 70-120 watts)
  • Ablative cancer surgery, mastectomies, etc. (cut 180-300 watts, coag 70-120 watts)

If the power setting isn’t known from personal experience, the generator should be set at a very low setting and power cautiously increased until the desired effect is achieved.

 


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ELECTROSURGICAL