Emergency Undocking in Robotic Surgery: A Simulation Curriculum
| Autor: | Derek A Ballas, Megan Cesta, Rami A. Ahmed, Margaret Rusnak, G Dante Roulette |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Laparoscopic surgery
Computer science General Chemical Engineering medicine.medical_treatment education 030232 urology & nephrology Troubleshooting General Biochemistry Genetics and Molecular Biology Formative assessment 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures medicine Humans Robotic surgery Curriculum Competence (human resources) General Immunology and Microbiology business.industry General Neuroscience Debriefing Robotics medicine.disease 030220 oncology & carcinogenesis Medicine Laparoscopy Artificial intelligence Medical emergency business |
| Zdroj: | J Vis Exp |
| Popis: | The following is a training platform to allow robotic surgeons to develop the skills necessary to lead an interprofessional team in emergency undocking of a robotic system. In traditional robotic training for surgeons, a brief web based overview of performing an emergency undocking is provided during initial introductory training to the robotics system. During such a process, there is no training in delineation of interdisciplinary roles for operating room (OR) personnel. The training presented here uses formative simulation and debriefing followed by a lecture. For the simulation, a modified gynecologic simulator is draped in a steep trendelenburg position consistent with most gynecologic laparoscopic surgery. The training torso is modified using tubing hooked to pressure bags of red food colored IV fluid used to simulate a catastrophic vessel injury on demand. Positioned throughout the operating room setting is an interprofessional team consisting of embedded standardized persons (ESPs) to fulfill the roles of a circulating nurse, scrub nurse, anesthesiologist, and bedside assist surgeon. Robotic surgeons are presented a case scenario necessitating emergency undocking, and given control of the robotic instruments. The scenario is terminated following either successful completion of an emergency undock, or at five minutes due to the emergent nature of the case. A debriefing session with hands on training of the steps to emergency undocking, necessary equipment, troubleshooting techniques, and operating room personnel roles follows the simulation. The learners are presented with a short lecture reemphasizing the material presented in the debriefing for their own self-study. This training results in improved time accessing the patient, improved knowledge, confidence, and completion of critical actions, and can be replicated in most institutions. All robotic surgeons should be able to demonstrate competence in this crucial intervention. A limitation of the curriculum is ability to access the in-situ environment for training purposes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|