<prompt> Which of the following is most accurate in describing coblation intracapsular tonsillectomy?Electric energy is transferred to vibration energylt can only cut, and not coagulate. lt creates significant thermal injury to tissueslt utilizes a thin layer of ionized sodium to ablate tissues  <response>: It utilizes a thin layer of ionized sodium to ablate tissues The newer methods of tonsillectomy include: a. Coblation b. Harmonic scapel c.Ligasure Thermal Welding d. Laser e. Intra-capsular methods Coblation Uses radiofrequency RF energy to ionize NaCI in a saline medium, then the energy of these ions plasma is used to break molecular tissue bonds May also be used for direct hemostasis RF energy is supposed to stay in the irrigation to minimize collateral heating Temperatue is not supposed to exceed 70 C cautery is routinely 200-400 C Most studies indicate less pain than electrocautery, some cite equivalent pain to cold knife Intraoperative blood loss comparable to electrocautery No electrical connection to patient Very high cost compared to electrocautery or cold knife 150-200piece Operative times up to twice as long than electrocautery Aggressive marketing campaign targeted to lay public 