Anaes SAQs · Measurement & monitoring physics
Electricity fundamentals and electrical safety
Primary — Ohm's law V=IR; macroshock (whole-body via skin, VF threshold greater than 100 mA, AC more dangerous than DC); microshock (direct cardiac contact via catheter/pacemaker wire, VF threshold 100 microamperes = 0.1 mA, 1000 times lower); electrical safety (earthing diverts fault to ground, fuse breaks at excess current, RCD trips at 5-30 mA leakage, isolated/floating circuit means single fault cannot complete circuit through patient); diathermy high-frequency AC 400 kHz to 4 MHz (no muscle stimulation at high freq), monopolar (return plate) vs bipolar (between forceps); surgical fire triangle (ignition + oxidiser + fuel).
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Define macroshock and microshock and give the approximate ventricular fibrillation threshold for each. Outline the electrical safety systems that protect the patient in theatre, and describe the principle of diathermy.
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