When using monopolar energy flow in electrosurgery, what might occur?

When employing monopolar energy flow in electrosurgery, one potential consequence is an alternate site burn. This phenomenon occurs because the current from the monopolar electrode can travel through the patient’s body and cause unintended thermal injury at sites other than the intended surgical target. The current exits the patient's body at a return electrode, which is placed on an area of the skin farther away from the surgical site. If the return electrode is not properly positioned or if there is inadequate contact, the current may take an unintended path, leading to burns on those alternate sites.

In monopolar electrosurgery, the specific design of the instrument allows for a concentrated and directed application of energy, but it is crucial to ensure the safety of the patient by properly managing the flow of electricity to minimize the risk of such injuries. Monitoring and careful placement of the return electrode are vital preventative measures against this complication.