Robotic remote presence technology in the surgical intensive care unit

The Journal of Trauma and Acute Care Surgery
John McNelisJohn F Collins

Abstract

A national shortage of intensivists coupled with an increased demand for 24/7 intensive care unit (ICU) attending coverage poses staffing problems. To extend physician availability, many institutions have adopted varying forms of remote presence technology (RPT). The authors examine their experience with robotic technology to extend physician presence. The RP-7 experience (InTouch Health, Santa Barbara, CA) was examined from March 1, 2008, to December 31, 2010. Intensivists were on site daily from 8:00 AM to 5:00 PM. Evening rounds were conducted by either RP-7 or telephone. Data were acquired after each session and included demographic data, patients evaluated, interventions made, nighttime discussions regarding plan of care, signal drops, time spent, subsequent calls, unexpected events, and a user evaluation. In addition, Acute Physiology and Chronic Health Evaluation II data, length of stay (LOS), and mortality data were tracked for each group. Data are presented as mean ± standard deviation. Statistical analysis was done using Student's t test. The two groups did not differ in regard to age, Acute Physiology and Chronic Health Evaluation II score, or mortality. The RP-7 group demonstrated a decreased hospital and ICU LOS an...Continue Reading

Citations

Feb 24, 2016·Chronic Respiratory Disease·Donna Goodridge, Darcy Marciniuk
Aug 29, 2013·International Journal of Circumpolar Health·Ivar MendezGail Turner
Feb 3, 2018·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Tanya HoltIvar Mendez
Sep 17, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Venktesh R RamnathNayer Khazeni
Sep 17, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Venktesh R Ramnath, Nayer Khazeni
May 6, 2015·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Michele BettinelliTimothy N Liesching
Apr 11, 2018·Military Medicine·Jan-Michael Van GentMatthew D Tadlock
Mar 14, 2019·International Anesthesiology Clinics·Piyush Mathur, Michael L Burns
Dec 29, 2020·Journal of Pediatric Nursing·Tryphena T LewisChung Hyuk Park

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