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25.06.2019 | Original Article

Robotic cardiac surgery impact of a new patient-side assistant on outcomes

verfasst von: Mackenzie McCrorey, Hiroto Kitahara, Dorothy Krienbring, Brooke Patel, Sarah Nisivaco, Husam H. Balkhy

Erschienen in: General Thoracic and Cardiovascular Surgery

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Abstract

Objective

Very few studies have focused on the experience of the patient-side assistant in robotic cardiac surgery. We investigated whether the retirement of a highly experienced robotic patient-side assistant and replacement with a new assistant had an effect on surgical outcomes.

Methods

In 4/2016, the established patient-side assistant retired after spending 8 months training a new patient-side assistant. A retrospective analysis of 216 patients was performed; 108 patients over a 9 month period just prior to arrival of the new patient-side assistant (Group 1), and 108 patients over 8 months just subsequent to departure of the established assistant (Group 2). Case distribution, pre-operative characteristics, and surgical outcomes were collected and compared.

Results

Case volume increased in Group 2 with the new assistant. The mean age and rate of pre-op CVA for Group 1 was lower, but, otherwise, patient demographics were not significantly different. Group 1 had more intracardiac cases and group 2 had more triple-vessel TECABs. Overall operative time was not different between the two groups. Perioperative outcomes including hospital length of stay major adverse cardiovascular events and mortality were similar between the two groups.

Conclusions

We conclude that the transition to a new robotic cardiac surgical patient-side assistant does not have to affect the progress of a busy robotic program. If adequate time for training and gradual assumption of responsibility is ensured, it is feasible to make this transition without loss of volume or compromise in patient outcomes.
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Metadaten
Titel
Robotic cardiac surgery impact of a new patient-side assistant on outcomes
verfasst von
Mackenzie McCrorey
Hiroto Kitahara
Dorothy Krienbring
Brooke Patel
Sarah Nisivaco
Husam H. Balkhy
Publikationsdatum
25.06.2019
Verlag
Springer Singapore
Erschienen in
General Thoracic and Cardiovascular Surgery
Print ISSN: 1863-6705
Elektronische ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-019-01165-9

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