61 research outputs found
What do nurses experience in communication when assisting in robotic surgery : an integrative literature review
Background.
Communication in surgery is integral to the fundamentals of perioperative nursing practice and patient safety. Research exploring team communication in robotic-assisted surgery (RAS) is evident in the literature but little attention has been focused on how the experiences of operating room nurses' communication affect safety, practice and patient care outcomes.
Objective.
To synthesise current evidence regarding communication during robotic-assisted surgery as experienced by registered nurses.
Design.
An integrative literature review informed by Whittemore and Knafl's (2005) methodology was used to conduct a rigorous analysis and synthesis of evidence.
Methods.
A comprehensive database search was conducted using PRISMA guidelines. CINAHL, Pubmed, PsychINFO and British Nursing Web of Science databases were searched using a Boolean strategy.
Results.
Twenty-five relevant papers were included in this literature review. Thematic analysis revealed two main themes with four related subthemes. The two main themes are: ‘Adaptive operating room nursing in RAS’ and ‘RAS alters team dynamics’. The four subthemes are: ‘Navigating disruptions in RAS’, ‘RAS heightens interdependence on team working’, ‘Augmented communicative workflow in RAS’, and ‘Professional empowerment to speak up’.
Conclusions.
This integrative review identifies how current research largely focuses on communication in the wider OR team. However, current evidence lacks the input of nurses. Therefore, further evidence is needed to explore nurses' experiences to highlight their perspectives.
Clinical Relevance.
Robotics significantly benefit patients, and this review identifies different challenges that robotic-assisted surgery nurses encounter. A better understanding of the communication from the perspective of nurses is needed to guide future research, practice education, policy development and leadership/management
Recent Research Trends in Medical and Health Sciences
The present volume is based on the contributions made by various authors on different important topic of “Recent Research Trends in Medical and Health Sciences” and introduces the subject along the following topics: Methods in Improving Short Term Memory: A Brief Review; Are Children Falling into the Trench of Fast Food?; Biomedical Research Ethics: Past, Present and Future; Early (Short-Term) Side-Effects of Chemotherapy in Pediatric Solid Tumors; Health and Pollution in Banbishnupur village, Haldia, West Bengal; A Study to Evaluate the Morphometric measures of Gonial angle and Bi-gonial width for Healthy Individuals in Garden City university dental camp; Prevalence of Overweight and Obesity (overnutrition) among the Bengali Adolescent Girls: A Cross-Sectional Study from Darjeeling District, West Bengal (India). We must place on record our sincere gratitude to the authors not only for their effort in preparing the papers for the present volume, but also their patience in waiting to see their work in print
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[ES] El aumento de los procedimientos usando la robótica quirúrgica en la última década
demanda un alto número de cirujanos, capaces de teleoperar sistemas avanzados y
complejos y, al mismo tiempo, de aprovechar los beneficios de la Cirugía Asistida por
Robot de forma segura y efectiva. En la actualidad, los planes de formación se basan
en la Realidad Virtual y entornos simulados para lograr un establecimiento escalable,
rentable y completo del conjunto de habilidades quirúrgicas robóticas. Este trabajo
se centra en el desarrolloo de un una escenario clínico mediante sensores que
asistan al ciruajano durante su entrenamiento con el daVinci®, implementados en
un entorno físico impreso en 3D. Esta investigación busca la obtención de un modelo
segmentado, la impresión 3D del modelo para simular el escenraio clínico real y así
abituar al cirujano a la interacción de los órganos y tejidos con el robot; y la
implementación de sensores con que asistir al cirjuano en el entrenamiento. Para
ello, con el fin de demostrar la eficacia de la asistencia durante los entrenamientos,
así como la validez de los ejercicios de la operación simulada se ha realizado un
estudio con doce voluntarios.Tanto la asistencia visual como el uso de fantomas 3D
muestran ser una alternativa óptima para el aprendizaje de la habilidades requeridas
en la cirugía robótica: manifestandose un paso adelante hacia un entrenamiento
personlizado para cada cirujano.[EN] The increase of surgical procedures using robotic technology in the last decade
demands a high number of surgeons capable of teleoperating advanced and complex
systems while safely and effectively taking advantage of Robot-Assisted Surgery
benefits. Currently, training plans rely on Virtual Reality and simulated environments
to achieve a scalable, cost-effective, and comprehensive establishment of robotic
surgical skills. This work focuses on the development of a clinical scenario through
sensors that assist the surgeon during their training with the daVinci® system,
implemented in a 3D-printed physical environment. This research aims to obtain a
segmented model, 3D printing the model to simulate the real clinical scenario, thus
familiarizing the surgeon with the interaction of organs and tissues with the robot.
Additionally, sensors are implemented to assist the surgeon during training.
Therefore, to demonstrate the effectiveness of the assistance during the training
sessions and the validity of the exercises in the simulated operation, a study was
conducted with twelve volunteers. Both visual assistance and the use of 3D
phantoms prove to be an optimal alternative for learning the required skills in
robotic surgery, representing a significant step forward towards personalized
training for each surgeon.Castillo Rosique, P. (2023). Development sensorized 3D-printed realistic phantom to scale for surgical training with a daVinci robot. Universitat Politècnica de València. http://hdl.handle.net/10251/19804
Advanced Bariatric and Metabolic Surgery
Bariatric surgery has gained importance in the last 20 years because of the high prevalence of global obesity, and the vast understating of the physiological and pathological aspects of obesity and associated metabolic syndromes. This book has been written by a number of highly outstanding authors and pioneering bariatric surgeons from all over the world. The intended audience for this book includes all medical professionals involved in caring for bariatric patients. The chapters cover the choice of operation, preoperative preparation including psychological aspect, postoperative care and management of complication. It also extends to concept and result of metabolic surgery and scarless bariatric surgery
Computational Intelligence in Electromyography Analysis
Electromyography (EMG) is a technique for evaluating and recording the electrical activity produced by skeletal muscles. EMG may be used clinically for the diagnosis of neuromuscular problems and for assessing biomechanical and motor control deficits and other functional disorders. Furthermore, it can be used as a control signal for interfacing with orthotic and/or prosthetic devices or other rehabilitation assists. This book presents an updated overview of signal processing applications and recent developments in EMG from a number of diverse aspects and various applications in clinical and experimental research. It will provide readers with a detailed introduction to EMG signal processing techniques and applications, while presenting several new results and explanation of existing algorithms. This book is organized into 18 chapters, covering the current theoretical and practical approaches of EMG research
Medical Robotics
The first generation of surgical robots are already being installed in a number of operating rooms around the world. Robotics is being introduced to medicine because it allows for unprecedented control and precision of surgical instruments in minimally invasive procedures. So far, robots have been used to position an endoscope, perform gallbladder surgery and correct gastroesophogeal reflux and heartburn. The ultimate goal of the robotic surgery field is to design a robot that can be used to perform closed-chest, beating-heart surgery. The use of robotics in surgery will expand over the next decades without any doubt. Minimally Invasive Surgery (MIS) is a revolutionary approach in surgery. In MIS, the operation is performed with instruments and viewing equipment inserted into the body through small incisions created by the surgeon, in contrast to open surgery with large incisions. This minimizes surgical trauma and damage to healthy tissue, resulting in shorter patient recovery time. The aim of this book is to provide an overview of the state-of-art, to present new ideas, original results and practical experiences in this expanding area. Nevertheless, many chapters in the book concern advanced research on this growing area. The book provides critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies. This book is certainly a small sample of the research activity on Medical Robotics going on around the globe as you read it, but it surely covers a good deal of what has been done in the field recently, and as such it works as a valuable source for researchers interested in the involved subjects, whether they are currently “medical roboticists” or not
Losing Touch:An embodiment perspective on coordination in robotic surgery
Because new technologies allow new performances, mediations, representations, and information flows, they are often associated with changes in how coordination is achieved. Current coordination research emphasizes its situated and emergent nature, but seldom accounts for the role of embodied action. Building on a 25-month field study of the da Vinci robot, an endoscopic system for minimally invasive surgery, we bring to the fore the role of the body in how coordination was reconfigured in response to a change in technological mediation. Using the robot, surgeons experienced both an augmentation and a reduction of what they can do with their bodies in terms of haptic, visual, and auditory perception and manipulative dexterity. These bodily augmentations and reductions affected joint task performance and led to coordinative adaptations (e.g., spatial relocating, redistributing tasks, accommodating novel perceptual dependencies, and mounting novel responses) that, over time, resulted in reconfiguration of roles, including expanded occupational knowledge, emergence of new specializations, and shifts in status and boundaries. By emphasizing the importance of the body in coordination, this paper suggests that an embodiment perspective is important for explaining how and why coordination evolves following the introduction of a new technology
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