Da Vinci robot emergency undocking protocol

O’Sullivan, Orfhlaith E.; O’Sullivan, S. T.; Hewitt, Matt; O’Reilly, Barry

doi:10.1007/s11701-016-0590-z

Cited by 21 publications

(14 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a situation in which emergency undocking is performed, the coordination of the entire interprofessional team involved in the operating room is required. There is a paucity of literature available outlining protocols or training for this procedure [4]. A team generally consists of a circulating nurse, scrub nurse, anesthesiologist, bedside assist surgeon, and robot console surgeon.…”

Section: Introductionmentioning

confidence: 99%

“…Limited access to the patient can delay the start of effective measures to treat a life-threatening emergency and, in some cases, has resulted in fatality [3,11]. It is well-established that clear, concise communication is paramount during surgical emergencies for the benefit of patients and operating room staff [4,12-13]. The need for a protocol has been well-described in the robotics field since many practicing robotic surgeons have not encountered this situation in their training.…”

Section: Introductionmentioning

confidence: 99%

“…The need for a protocol has been well-described in the robotics field since many practicing robotic surgeons have not encountered this situation in their training. However, there is limited literature outlining such protocols [4]. By standardizing the procedure for all robotic surgeons, best-care practices can be established.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Emergency Undocking Curriculum in Robotic Surgery

Ballas¹,

Cesta²,

Gothard³

et al. 2019

Cureus

View full text Add to dashboard Cite

Introduction Traditional instruction for robotic surgery is typically devoid of training that addresses the delineation of interprofessional roles for operating room personnel. An emergency undocking scenario was developed for robotic surgeons with the objectives of improving time to access the patient, provider knowledge of and confidence in emergency undocking, completion of predetermined critical actions, and delineation of operating room personnel roles. Methods Over one month, participants joined in three sessions: Session 1 - formative, Session 2 - review, and Session 3 - summative. Embedded standardized participants (ESPs) represented members of the interprofessional team. Prior to entering the operating room for Sessions 1 and 3, trainees were asked to complete a confidence survey and multiple choice questionnaire (MCQ) for knowledge assessment. Participants were randomized to one of two cases and participated in the reciprocal case for the final session four weeks later. Following Session 1, participants underwent an educational intervention, including the proper technique for emergency undocking, emphasis on operating room personnel roles, and hands-on practice. Obstetrics and Gynecology (OBGYN) residents in post-graduate Years 2-4 and attending physicians with robotics privileges at Summa Health Akron Campus or Cleveland Clinic Akron General Medical Center were invited to participate. A total of 21 participants enrolled and finished the study. Results Among the 21 participants, there was a significant increase in the baseline level of knowledge (p-value=0.001) and in the confidence of surgeons when faced with an emergency undocking after the completion of our curriculum (p-value=0.003). Additionally, an improvement in the undocking times (p-value<0.001) and an increase in the critical actions performed (p-value=0.002) were observed. Conclusion The results of this study demonstrate that incorporating this curriculum into the training programs of robotic surgeons is an effective way to improve the surgical skill of emergency undocking.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Emergency Undocking Curriculum in Robotic Surgery

Ballas¹,

Cesta²,

Gothard³

et al. 2019

Cureus

View full text Add to dashboard Cite

show abstract

“…Simulating this situation and having an emergency plan can improve the time of preparation and intervention. O'Sullivan et al [60] experienced a respiratory complication during a robotic sacrocolpopexy. The patient had a decreased sPO 2 and increased airway pressure, thus an emergency undocking of the robotic arms was required.…”

Section: Emergency Situationsmentioning

confidence: 99%

“…The patient had a decreased sPO 2 and increased airway pressure, thus an emergency undocking of the robotic arms was required. After this complication they reported that they created an emergency undocking protocol, which indicates the roles of each member of the crew in emergency situations [60] . Also Huser et al [61] reported that proper training with repeating simulations improved the time for resuscitation in simulations.…”

Section: Emergency Situationsmentioning

confidence: 99%

Complications of robotic and laparoscopic urologic surgery relevant to anesthesia

Arslan¹,

Özgök²

2018

MIS

View full text Add to dashboard Cite

How to cite this article: Arslan ME, Özgök A. Complications of robotic and laparoscopic urologic surgery relevant to anesthesia. AbstractTechnology keeps advancing in this era allowing surgery to become less invasive in many surgical sciences. Besides these technological advances, minimally invasive procedures such as laparoscopy and robotic assisted laparoscopy are preferred widely around the globe by both surgeons and patients. Because of the increasing demand to laparoscopy and robotic surgery, anesthetists also should adapt to these specific surgical procedures. Carbon dioxide (CO 2 ) insufflation is applied in these procedures in order to provide working space and exposure to target organs. CO 2 insufflation (pneumoperitoneum if applied intrabdominally) and positional maneuvers such as steep Trendelenburg position is used in urologic laparoscopy and robotic surgery, which have vital effects on patient's physiology regarding cardiovascular, respiratory, renal, ocular and neurological systems. Special positions and unique surgical tools used in these procedures may hinder vital interventions such as cardiopulmonary resuscitation and open conversion. Comprehension of these pathophysiological effects and specific considerations is crucial to detect, to prevent and to manage serious complications that may occur during surgery.

show abstract

Training in the protocol for robotic undocking for life emergency support (RULES) improves team communication, coordination and reduces the time required to decouple the robotic system from the patient

Almeida¹,

Campos²,

Castro³

et al. 2022

Robotics Computer Surgery

View full text Add to dashboard Cite

Introduction Robotic surgery has expanded on it's surgical application and it is also noted an increase in surgical procedures complexity. Occurrence of emergency situations that require conversion of the minimally invasive access route to open access routes is uncommon. The urgent undocking of the robotic platform is a complex and neglected process in robotic surgery training. Objective To establish specific actions and comands for a safe emergency robotic undocking in a simulation environment. Method Two surgical teams, interventional group (IG) and control group (CG), were submitted to a simulation environment in which there was a need for emergency undocking of the robotic system. The intervention group underwent training with the robotic undocking for life emergency support (RULES) protocol. Result Undocking time of the robotic platform from the IG was reduced by 66% and the CG by only 20%. After RULES protocol training, during the second simulation, the IG acquired more critical actions necessary for emergency undocking and developed more non‐technical skills. Conclusion The RULES protocol proved to be effective, promoting an improvement in technical and non‐technical skills of all surgical team menbers, resulting in more effective actions that resut in a coordinated and faster robotic undocking. It is also concluded that the surgeon and bed side surgeon are the key elements for the efficient robotic system undocking in emergency situations.

show abstract

Da Vinci robot emergency undocking protocol

Cited by 21 publications

References 4 publications

Emergency Undocking Curriculum in Robotic Surgery

Emergency Undocking Curriculum in Robotic Surgery

Complications of robotic and laparoscopic urologic surgery relevant to anesthesia

Training in the protocol for robotic undocking for life emergency support (RULES) improves team communication, coordination and reduces the time required to decouple the robotic system from the patient

Contact Info

Product

Resources

About