Navegando por Autor "Almeida, Thiago Fabrício Pereira de"

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Rules protocol: como proceder em emergências durante cirurgia robótica
(Faculdade Ciências Médicas de Minas Gerais, 2022-04-25) Almeida, Thiago Fabrício Pereira de; Campos, Marcelo Esteves Chaves; Santos, Fernando Augusto de Vasconcellos
Introduction: As robotic surgery has expanded on it’s surgical application and it is also being noted a increase in surgical procedures complexity. In this context, the occurrence of emergency situations that require the conversion of the minimally invasive access route to open access routes is not uncommon. The urgent decoupling of the robotic platform is a complex and neglected process in robotic surgery training as it is nowadays Objective: To establish specific actions during a surgical procedure with the aid of the robotic platform in the face of emergency decoupling in a simulation environment. Method: Two surgery teams were submitted to a simulation environment in which there was a need for emergency decoupling of the robotic system. The intervention group (IG) underwent training with the RULES protocol and the control group (CG) could discuss among themselves without external intervention. Result: Decoupling time for the robotic platform from the IG was reduced by 66% and the CG by only 20%. Compared to the CG, in the second simulation, the IG acquired more critical actions necessary for decoupling and developed more non-technical skills after training with the RULES protocol. 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.