The nurse asks which solution you wish to use. A cuff of pale edema is visualized, and the bleeding stops. You then thoroughly wash the area, and visualize an ulcer approximately 2 cm in diameter, oozing blood. This is shown in Figure 3. As you congratulate yourself on your success in stopping the bleeding, your mentor points out that the oozing is persisting.
Coagulation is suggested with a heater probe.
Whatever technique is used, heat is automatically applied to the lesion for six seconds after the foot pedal is activated Correct Answer 8 . Four pulses of 30 joules are applied to the oozing area, which then stops bleeding. You tell the wife that a duodenal ulcer was the cause of the bleeding, but that this has stopped since injecting and coagulating the lesion. She asks what the chances are of re-bleeding, surgery and death from the ulcer. Decrease the rate of re-bleeding and surgery, but do not change mortality Correct Answer 9 .