welcome to the world of robotics

[videolectures]

---

Members don't see this ad.

provided anesthesia for my first robotic prostatectomy today.

Case began at 8am finished nearly at 6pm...surgeon ended up opening at 4pm (8th hour). Did the whole case by myself with a whole 30 minute break.

Anyways as of now, not a big fan of robby the *****ic robot (DaVinci).
There was a completly diff appeal once we moved the robot, had proper exposure of the patient (airway, etc)

Are these robots the trend soon to be mainsteam?
2-3 hr case became nearly 10 hrs

 

[bubalus]

I did some early ones at my institution. 8 hours at first. Surgeons can now do them in 4 hours. I still hate doing them.

 

[videolectures]

only one thing i liked about the case...preload

 

[OB1🤙]

I hate robotic prostatectomies with the fire of a thousand suns.

Sounds good in theory but in practice.... yeah not so much.

 

[videolectures]

did find it humerous watching the chief resident scrubbed and sitting next to DaVinci simply to suction the smoke out of the belly...for 10 hrs.

Kept a mumbling commentary below the attending's auditory evoked potentials of how pissed he was.

 

[FuzzyBK]

the learning curve is steeeeeeeep. Our ex-robot guy can do one in 1.5 to 2 hours. Did five a day using alternating rooms. Now the gyn attendings are starting to use them, which means 8 hour hysterectomies 🙄

 

[videolectures]

learning curve as steep as the trendelenbug?

also they should incorporate another arm...for chest compressions for when a patient codes...how the hell can you get in there?

might as well place another arm to perform a ventriculostomy so relieve some of that ICP

while your at it...another arm to smack the attending surgeon when he takes 10 hrs to do a case...kidding 🙂

 

[cchoukal]

yeah, we've got guys that'll do them in 2 hrs. patients go home the next day, ebl is virtually nothing, and the outcomes (continence and erectile function) are supposed to be way better.

 

[videolectures]

that would explain the new advertisement banners in the OR hallway.
70 yr old wife hugging hubby
just have to figure out if its the continence or erectile function.

 

[SouthSideSteve]

you think its bad now? wait till you get a poorly trained CT guy trying to do MVRs. I know Duke and some other places have guys who are studs at robotic MVRs, but I worked with a guy who was less than proficient. They arn't pretty.

 

[MTGas2B]

you think its bad now? wait till you get a poorly trained CT guy trying to do MVRs. I know Duke and some other places have guys who are studs at robotic MVRs, but I worked with a guy who was less than proficient. They arn't pretty.

I don't get robot or minimally invasive cardiac surgery. Most procedures require at least a "mini thoracotomy", if not a rib removing thoracotomy. While sternal wound infections are horrible, it seems recovery from sternotomy is relatively pain free while thoractomy is quite painful with a pretty high rate of chronic pain afterwards.