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Robotic-Assisted Surgery In Pediatric Clients

Robotic-Assisted Surgery In Pediatric Clients . Cecelia Grogan Sara Pedley Jill Gordon. Objectives. Describe robotic-assisted surgery in pediatric clients Describe hardware List, Describe, and Evaluate software Describe and review the information system

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Robotic-Assisted Surgery In Pediatric Clients

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  1. Robotic-Assisted Surgery In Pediatric Clients Cecelia Grogan Sara Pedley Jill Gordon

  2. Objectives Describe robotic-assisted surgery in pediatric clients Describe hardware List, Describe, and Evaluate software Describe and review the information system Describe advantages and disadvantages Examine related ethical/legal issues Describe the technology-related competencies of the professional nurse working with robotic-assisted surgery in pediatric clients Describe the functions of the informatics nurse working with robotic-assisted surgery in pediatric clients

  3. Robotic-Assisted Surgery in Pediatric Clients Robotic surgery: is the use of robots in performing surgery Allows patient to achieve shorter surgery, recovery, and duration of stay Historically, robotic surgery was: Developed first as programmable industrial manipulators Pioneered by George Devol- late 1940s and early 1950s (Krummel, Holman, & Ford, 2004)

  4. Robotic-Assisted Surgery in Pediatric Clients Cases to date of robotic assisted pediatric surgery: Fundoplication Cholecystectomy Oophorectomy Splenectomy Urachal resection Lymphadenectomy Tumor biopsy Diaphragmatic hernia repair Biopsy mediastinal mass Heller myotomy Choledochal cyst excision Kasai (Krummel, Holman, & Ford, 2004)

  5. Hardware Types of robots used: AESOP CyberKnife RoboDoc Acrobot NeuroMate Zeus DaVinci Da Vinci Robot (Cao & Rogers, 2006)

  6. DaVinci comprehensive master-slave surgical robots with multiple arms operated remotely from a console with video assisted visualization and computer enhancement evolved from the telepresence machines developed for NASA and the US Army 3 components vision cart that holds a dual light source and dual 3-chip cameras master console where the operating surgeon sits moveable cart, where 2 instrument arms and the camera arm are mounted (Brown University, 2008)

  7. Software VoXim™, IVS Software Engineering software system NI LabVIEW software (National Instruments Corporation, 2009) (Brown University, 2008)

  8. NI LabVIEW Laboratory Virtual Instrumentation Engineering Workbench programs/subroutines are called virtual instruments (VIs) used for data acquisition instrument control industrial automation (Wikipedia, 2009)

  9. NI LabVIEW No surveys or focus groups given to potential users Uses discussion forums No cognitive walkthrough No heuristic evaluation No formal usability No apparent field study (McGonigle & Mastrian, 2009)

  10. Healthcare Information Systems Healthcare Management Systems (HMS) integrates clinical and financial applications on a single IBM platform Technology such as: Pen tablets Mobile carts Bar coding Document imaging (Healthcare Management Systems Inc, 2009)

  11. HMS Review Type of information system: Administrative/Clinical Who can use this system: Any healthcare professional HMS function: All aspects of hospital Configuration: Local Area Network Nursing Practice Standards: NANDA Recommend: Yes (Healthcare Management Systems Inc, 2009)

  12. Advantages of Robotic Surgery Major advantages of robotic surgery: precision miniaturization smaller incisions decreased blood loss less pain quicker healing time (Holman , 2004)

  13. Disadvantages of Robotic Surgery New technology Cost Size of systems Lack of compatible instruments and equipment (Lanfranco, Castellanos, Desai, & Meyers, 2004)

  14. Ethical/Legal Issues Ethical Issues Malfunction of equipment Replacement of human care by mechanical care Not a lot of ethical issues Legal Issues Methodology for research on effectiveness and safety (Butter, et. al, 2008)

  15. Informatics Competencies of the Professional Nurse Ability to interpret information Basic information about robots Basic information about software (Kaminski, 2007)

  16. Functions and Responsibilities of the Informatics Nurse More patient teaching Interpret and organize information Give information to surgeons (Kaminski, 2007)

  17. Summary Surgery done by robots Hardware Types of robots Da Vinci Zeus Software Robots mostly contain own software Examples NI LabVIEW VoXim Advantages and disadvantages Smaller incisions High cost of robots Ethical/Legal issues Not many ethical legal issues because of lack of research on robotic surgery Nursing competencies Ability to use software Basic information about robots

  18. References Brown University. (2008). Robotic Surgery. Retrieved February 16, 2009 from http://www.ask.com/bar?q=What+is+the+software+used+in+robotic+surgery&page=2&qsrc=0&zoom=Disadvantages+to+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7CInformation+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7C%3CKW%3ERobotic%3C%2FKW%3E+Heart+%3CKW%3ESurgery%3C%2FKW%3E&ab=0&u=http%3A%2F%2Fbiomed.brown.edu%2FCourses%2FBI108%2FBI108_2008_Groups%2Fgroup12%2FRoboticsurgery.html Butter, M., Rensma, A. and Boxyl, J. (2008). Robotics for Healthcare. Retrieved February 23, 2009 from http://www.scribd.com/doc/10269005/Robotics-for-Healthcare Cao, C. & Rogers, G. (Ed.) (2006). Handbook of Human Factors and Ergonomics in Healthcare and Patient Safety. Mahwah: Lawrence Erlbaum. Healthcare Management Systems Inc. 2009. Retrieved February 23, 2009 from http://www.hmstn.com/ Kaminski, J. (2007). Nursing Informatics Competencies: Self – Assessment. Retrieved February 25, 2009 from http://nursing-informatics.com/niassess/competencies.html

  19. References Krummel, T., Holman, E., & Ford, S. (2004). Surgical Robotics in Children’s Surgery [PowerPoint slides]. Retrieved from http://www.facs.org/education/gs2004/gs04krummel.pdf Lanfranco, A., Castellanos, A., Desai, J., & Meyers W. (2004). Robotic Surgery, A Current Perspective. Annals of Surgery, 239, 14-21. McGonigle, D. & Mastrian, K. (2009). Nursing Informatics and the Foundation of Knowledge. Massachusetts: Jones and Bartlett Publishers. National Instruments Corporation. (2009). Robotic Surgery Moves from Science Fiction to Reality. Retrieved February 16, 2009 from http://www.ask.com/bar?q=software+for+robotic+surgery&page=1&qsrc=0&zoom=Disadvantages+to+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7CInformation+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7C%3CKW%3ERobotic%3C%2FKW%3E+Heart+%3CKW%3ESurgery%3C%2FKW%3E&ab=0&u=http%3A%2F%2Fzone.ni.com%2Fdevzone%2Fcda%2Fpub%2Fp%2Fid%2F257 Wikipedia. 2009. Robotic Surgery. Retrieved January 26, 2009 from http://en.wikipedia.org/wiki/Robotic_surgery#Pediatrics

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