2010, Number 4
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Med Crit 2010; 24 (4)
Robotics in critical care: telepresence in acute care facilities
Vázquez AGF, Larraza RS, González CNP, González Ó, Salinas AÁ, Camacho BRI
Language: Spanish
References: 22
Page: 178-184
PDF size: 215.64 Kb.
ABSTRACT
It is known that there is a shortage of specialists in critical care medicine around the world. Innovation in telecommunications with audio and video in real time along with robotics at the Intensive Care Unit (ICU) has been more accepted as a way to satisfy the shortage of specialists. Telepresence has improved communication face to face between doctors from suburban hospitals with critical care medicine specialists from high care hospitals. Through this new practice (Telepresence) among with Tele-ICU is possible to make medical attention closer, reducing distances and time to start specialist care to critically ill patients in places where there are not specialists’ available 24/7. Robots have capabilities to move freely around acute care facilities and are operated by a physician who is placed in a distant high care hospital. There is an improvement in quality of care, decrease in mortality rate, length of stay, reduction of time leg specialized diagnostics and specific treatment, decreasing the cost of medical attention. Recently, in Mexico a new program about Telepresence Robotics in Critical Care started in five suburban hospitals at the State of Mexico. The program includes rounds at the ICU and other advance life support processes.
REFERENCES
Heimreich RI. On error management: lessons from aviation. BMJ 2000;320:781-785.
The Leapfroggroup for patient safety. http://www.leapfroggroup.org/.
Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J Jr. Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA 2000;284:2762-2770.
Pronovost PJ, Holzmueller CG, Clattenburg L et al. Team care: beyond open and closed intensive care units. Curr Opin Crit Care 2006;12:604-608.
Chung, KK et al. Robotic Telepresence: Past, present, and future. Journal of Cardiothoracic and Vascular Anesthesia 2007;21(4):593-596.
Vazquez de Anda GF. The Mexican healthcare system: The practice of critical care medicine. ICU Management 2009;9:36-39.
Eithoven. Le Telecardiogramme. Arch Int Physiol 1906;4:132.
Pronovost PJ, Angus DC, Dorman T et al. Physician staffing patterns and clinical outcomes in critically ill patients. JAMA 2002;288:2151-2162.
SCCM Tele-ICU Committee. Telemedicine in the Intensive Care Unit. http://www.learnicu.org/SiteCollectionDocuments/Telemedicine%20_FINAL.pdf.
Smith CD, Skandalakis JE. Remote presence proctoring by using a wireless remote- control videoconferencing system. Surgical Innovation, 2005;12:T1-T5.
Vespa PM et al. Intensive care unit robotic telepresence facilitates rapid physician response to unstable patients and decreased cost in neurointensive care. Surgical Neurology 2007;67:331-337.
Young BA. ICU process improvement: using telemedicine to enhance compliance and documentation for the ventilator bundle. Chest 2006;130:102s.
Vespa P. Robotic Telepresence in the intensive care unit. Journal of Critical Care 2005;9.
Vespa P. Robotic Telepresence Rounding. ICU Management 2005.
Thacker PD. Physician-robot makes the rounds. JAMA 2005;293(2): Documentation for the ventilator bundle. Chest 2006;130:102s.
Agarwal R et al. The robot consultant: Telementoring and remote presence in the operating room during minimally invasive urologic surgeries using a novel mobile robotic interface. Urology 2007;70:970-974.
Vespa PM. Multimodality monitoring and telemonitoring in neurocritical care: from microdialysis to robotic Telepresence. Current Opinion in Critical Care 2005;11:133-138.
Gundy BL, Jones PK, Lovitt A. Telemedicine in critical care: problems in design, implementation and assessment. Crit Care Med 1982;10:471-475.
Youn BA. Utilizing robots and an ICU telemedicine program to provide intensivist support for rapid response teams. Chest 2006;130:102s.
Miller FHS. Cirugía robótica en México. Los sistemas inteligentes, perspectivas actuales y a futuro en el ámbito mundial. Rev Mex Cir Endoscop 2003;4:45-50.
Vazquez de Anda GF. Experience from the influenza outbreak in Mexico. ICU Management 2009;9:39-40.
Vázquez de Anda GF, Larraza S. Telepresence using robots in acute care facilities. ICU management 2010;10:20-23.