Surgical telepresence: the usability of a robotic communication platform
<p>Abstract</p> <p>Introduction</p> <p>The benefits of telepresence in trauma and acute surgical care exist, yet its use in a live, operating room (OR) setting with real surgical cases remains limited.</p> <p>Methods</p> <p>We tested the use of a...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-08-01
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| Series: | World Journal of Emergency Surgery |
| Online Access: | http://www.wjes.org/content/7/S1/S11 |
| _version_ | 1811314726097911808 |
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| author | Marttos Antonio Kuchkarian Fernanda M Palaios Emmanouil Rojas Daniel Abreu-Reis Phillipe Schulman Carl |
| author_facet | Marttos Antonio Kuchkarian Fernanda M Palaios Emmanouil Rojas Daniel Abreu-Reis Phillipe Schulman Carl |
| author_sort | Marttos Antonio |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>The benefits of telepresence in trauma and acute surgical care exist, yet its use in a live, operating room (OR) setting with real surgical cases remains limited.</p> <p>Methods</p> <p>We tested the use of a robotic telepresence system in the OR of a busy, level 1 trauma center. After each case, both the local and remote physicians completed questionnaires regarding the use of the system using a five point Likert scale. For trauma cases, physicians were asked to grade injury severity according to the American Association for the Surgery of Trauma (AAST) Scaling System.</p> <p>Results</p> <p>We collected prospective, observational data on 50 emergent and elective cases. 64% of cases were emergency surgery on trauma patients, almost evenly distributed between penetrating (49%) and blunt injuries (51%). 40% of non-trauma cases were hernia-related. A varied distribution of injuries was observed to the abdomen, chest, extremities, small bowel, kidneys, spleen, and colon. Physicians gave the system high ratings for its audio and visual capabilities, but identified internet connectivity and crowding in the operating room as potential challenges. The loccal clinician classified injuries according to the AAST injury grading system in 63% (n=22) of trauma cases, compared to 54% (n=19) of cases by the remote physicians. The remote physician cited obstruction of view as the main reason for the discrepancy. 94% of remote physicians and 74% of local physicians felt comfortable communicating via the telepresence system. For 90% of cases, both the remote and local physicians strongly agreed that a telepresence system for consultations in the OR is more effective than a telephone conversation.</p> <p>Conclusions</p> <p>A telepresence system was tested on a variety of surgical cases and demonstrated that it can be an appropriate solution for use in the operating room. Future research should determine its impact on processes of care and surgical outcomes.</p> |
| first_indexed | 2024-04-13T11:17:35Z |
| format | Article |
| id | doaj.art-5fccda90952846b6ad2ad9bdc581adab |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-04-13T11:17:35Z |
| publishDate | 2012-08-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-5fccda90952846b6ad2ad9bdc581adab2022-12-22T02:48:55ZengBMCWorld Journal of Emergency Surgery1749-79222012-08-017Suppl 1S1110.1186/1749-7922-7-S1-S11Surgical telepresence: the usability of a robotic communication platformMarttos AntonioKuchkarian Fernanda MPalaios EmmanouilRojas DanielAbreu-Reis PhillipeSchulman Carl<p>Abstract</p> <p>Introduction</p> <p>The benefits of telepresence in trauma and acute surgical care exist, yet its use in a live, operating room (OR) setting with real surgical cases remains limited.</p> <p>Methods</p> <p>We tested the use of a robotic telepresence system in the OR of a busy, level 1 trauma center. After each case, both the local and remote physicians completed questionnaires regarding the use of the system using a five point Likert scale. For trauma cases, physicians were asked to grade injury severity according to the American Association for the Surgery of Trauma (AAST) Scaling System.</p> <p>Results</p> <p>We collected prospective, observational data on 50 emergent and elective cases. 64% of cases were emergency surgery on trauma patients, almost evenly distributed between penetrating (49%) and blunt injuries (51%). 40% of non-trauma cases were hernia-related. A varied distribution of injuries was observed to the abdomen, chest, extremities, small bowel, kidneys, spleen, and colon. Physicians gave the system high ratings for its audio and visual capabilities, but identified internet connectivity and crowding in the operating room as potential challenges. The loccal clinician classified injuries according to the AAST injury grading system in 63% (n=22) of trauma cases, compared to 54% (n=19) of cases by the remote physicians. The remote physician cited obstruction of view as the main reason for the discrepancy. 94% of remote physicians and 74% of local physicians felt comfortable communicating via the telepresence system. For 90% of cases, both the remote and local physicians strongly agreed that a telepresence system for consultations in the OR is more effective than a telephone conversation.</p> <p>Conclusions</p> <p>A telepresence system was tested on a variety of surgical cases and demonstrated that it can be an appropriate solution for use in the operating room. Future research should determine its impact on processes of care and surgical outcomes.</p>http://www.wjes.org/content/7/S1/S11 |
| spellingShingle | Marttos Antonio Kuchkarian Fernanda M Palaios Emmanouil Rojas Daniel Abreu-Reis Phillipe Schulman Carl Surgical telepresence: the usability of a robotic communication platform World Journal of Emergency Surgery |
| title | Surgical telepresence: the usability of a robotic communication platform |
| title_full | Surgical telepresence: the usability of a robotic communication platform |
| title_fullStr | Surgical telepresence: the usability of a robotic communication platform |
| title_full_unstemmed | Surgical telepresence: the usability of a robotic communication platform |
| title_short | Surgical telepresence: the usability of a robotic communication platform |
| title_sort | surgical telepresence the usability of a robotic communication platform |
| url | http://www.wjes.org/content/7/S1/S11 |
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