Evidence map›Paper›PMID 39144341›Full record

ArticleJournal of thoracic disease2024

Emergent robotic surgery conversions: improving operating room team performance through high fidelity simulations.

Bryce Bludevich, Kevin M Dickson, Hayley Reddington, Chelsea Jeewoo Lim, Max Hazeltine, Hannah Buettner, Anne Weaver, Jorge Yarzebski, Isabel Cristina Martins Emmerick, Maksim Zayaruzny and 4 more

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Bryce BludevichDivision of Thoracic Surgery, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Kevin M DicksonDivision of Thoracic Surgery, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Hayley ReddingtonDivision of Thoracic Surgery, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Chelsea Jeewoo LimDivision of Thoracic Surgery, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Max HazeltineDivision of Thoracic Surgery, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Hannah BuettnerDivision of Thoracic Surgery, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Anne WeaverInterprofessional Center for Experiential Learning and Simulation, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Jorge YarzebskiInterprofessional Center for Experiential Learning and Simulation, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Isabel Cristina Martins EmmerickDivision of Thoracic Surgery, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Maksim ZayaruznyDepartment of Anesthesiology, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Mamatha KadiyalaDepartment of Anesthesiology, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Mark W MaxfieldDivision of Thoracic Surgery, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Karl UyDivision of Thoracic Surgery, UMass T.H. Chan School of Medicine, Worcester, MA, USA.
Feiran LouDivision of Thoracic Surgery, UMass T.H. Chan School of Medicine, Worcester, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although robotic surgery has gained popularity, safety concerns remain due to potential delay in addressing intraoperative hemorrhages since the surgeon is not at the bedside. This study aimed to test whether a training program for emergency robotic undocking protocols improved the performance of thoracic operating room (OR) teams. Methods: An emergency undocking protocol and checklists were created for massive hemorrhage during robotic thoracic surgery. In phase I, two OR teams participated in Results: All teams successfully converted from robot-assisted to open, with the attending at bedside within five minutes from the decision to convert, regardless of phase or education type. Phase I (control) teams had an average of 2.55 critical misses per team while the average was 0.25 for phase II teams (P=0.08). There was no significant difference between phases in time required for the surgeon to be at the bedside (average 132.2 seconds, P=0.64). Conclusions: Targeted education can lead to improved team performance. This study shows that high-fidelity simulation and didactic sessions can both be used to effectively teach emergency undocking protocols.

Indexed as

Intra-operative emergenciesrobotic surgerysimulation trainingsurgical educationthoracic surgery

Identifiers

PMID39144341
PMCPMC11320252

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.