Improving Teamwork: Evaluating Workload of Surgical Team During Robot-assisted Surgery

Cavuoto, Lora; Hussein, Ahmed A.; Vasan, Vivek; Ahmed, Youssef; Durrani, Ayesha; Khan, Sarah; Cole, Adam; Wang, Derek; Kozlowski, Justen; Ahmad, Basim; Guru, Khurshid A.

doi:10.1016/j.urology.2017.05.012

Cited by 26 publications

(20 citation statements)

References 23 publications

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“…BAs are also said to be at an increased risk of neuromuscular or traumatic injury (Borin & McDaniel 2013). Accordingly, an evaluation on team members’ workload in RAS concluded that BAs reported the highest physical but also temporal demands with time-constrained duties (Cavuoto et al 2017). Some authors argue these demands and the isolation of the BA, when compounded by the fact that professional BAs do not receive console time, make it important to keep the BA’s satisfaction high (Almeras 2019, Thiel et al 2013).…”

Section: Discussionmentioning

confidence: 99%

The role of the bedside assistant in robot-assisted surgery: A critical synthesis

Britton

Francis

Tay

et al. 2022

Journal of Perioperative Practice

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Introduction: Robot-assisted surgery has grown exponentially since its inception and first approval in the United States in the year 2000. The surgeon operating with the assistance of the robot sits remotely to the patient and another practitioner assists at the bedside. The role of the bedside assistant and the training that is required to undertake this role are understudied topics. Aim: To explore the functions, training and professional development of the bedside assistant in robot-assisted surgery and propose the necessary foundations for the safe enactment of the role in the United Kingdom. Methods: Through critical interpretative synthesis, relevant literature was systematically searched and analysed to inform integration of evidence. Results: Seventy-three studies were retrieved from the literature, across several health care disciplines and surgical specialities. These were critically analysed to inform a theoretically sound account grounded on evidence. Conclusion: The role, functions and skills of the bedside assistant in robot-assisted surgery vary across contexts. These were analysed and critically synthetised to produce several keys to the success of bedside assistants in robot-assisted surgery in the context of the United Kingdom and of its national regulations.

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Section: Discussionmentioning

confidence: 99%

The role of the bedside assistant in robot-assisted surgery: A critical synthesis

Britton

Francis

Tay

et al. 2022

Journal of Perioperative Practice

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“…Inconveniences have been previously shown to adversely affect the surgical team's cognitive workload and performance, and may also predispose to latent and near-miss events [29]. Requests acknowledged by the bedside assistance had significantly longer total action times (P < 0.001), but the absolute difference (3 s) was not very long.…”

mentioning

confidence: 94%

Variability and interpretation of communication taxonomy during robot‐assisted surgery: do we all speak the same language?

et al. 2018

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“…While discomfort varies by surgical approach, with the greatest during laparoscopy, and the least during robotic surgery [7], it should be noted that assessments of ergonomics during robotic surgery are often only performed only for the console surgeons [8]. The bedside assistants in robotic surgery, by comparison, are performing traditional laparoscopic surgery, which has greater physical and temporal demand [9]. One study showed that surgeons spent 98% of the time during laparoscopic procedures with their heads rotated a median of 21° [10].…”

Section: Discussionmentioning

confidence: 99%

Study on augmented reality for robotic surgery bedside assistants

et al. 2021

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Robotic surgery bedside assistants play an important role in robotic procedures by performing intra-corporeal tasks while accommodating the physical presence of the robot. We hypothesized that an augmented reality headset enabling 3D intracorporeal vision while facing the surgical field could decrease time and improve accuracy of robotic bedside tasks. Bedside assistants (one physician assistant, one medical student, three surgical trainees, and two attending surgeons) performed validated tasks within a mock abdominal cavity with a surgical robot docked. Tasks were performed with a bedside monitor providing 2D or 3D vision, or an optical see-through head-mounted augmented reality device with 2D or 3D vision. The effect of augmented reality device resolution on performance was also evaluated. For the simplest task of touching a straw, performance was generally high, regardless of mode of visualization. With more complex tasks, including stapling and pulling a ring along a path, 3D augmented reality decreased time and number of errors per task. 3D augmented reality allowed the physician assistant to perform at the level of an attending surgeon using 3D augmented reality (p = 0.08). All participants had improved times for the ring path task with better resolution (lower resolution 23 ± 11 s vs higher resolution 14 ± 4 s, p = 0.002). 3D augmented reality vision with high resolution decreased time and improved accuracy of more complex tasks, enabling a less experienced robotic surgical bedside assistant to function similar to attending surgeons. These data warrant further study with additional complex tasks and bedside assistants at various levels of training.

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Improving Teamwork: Evaluating Workload of Surgical Team During Robot-assisted Surgery

Cited by 26 publications

References 23 publications

The role of the bedside assistant in robot-assisted surgery: A critical synthesis

The role of the bedside assistant in robot-assisted surgery: A critical synthesis

Variability and interpretation of communication taxonomy during robot‐assisted surgery: do we all speak the same language?

Study on augmented reality for robotic surgery bedside assistants

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