Demands of surgical teams in robotic-assisted surgery: An assessment of intraoperative workload within different surgical specialties

Zamudio, Jennifer; Woodward, J.; Kanji, Falisha; Anger, Jennifer T.; Catchpole, Ken; Cohen, Tara N.

doi:10.1016/j.amjsurg.2023.06.010

Cited by 10 publications

(2 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The NASA-TLX is a widely recognized and extensively used measurement tool that evaluates the subjective workload experienced by individuals performing complex tasks, especially in high-pressure environments. It provides valuable insights into the mental and physical demands placed on individuals during task execution, allowing for the identification of potential areas of improvement and optimization in task design, workload distribution, and resource allocation [ 46 ]. The above-described NASA-TLX, reaction times, number of VHF calls, and number of collisions were included in the statistical analysis.…”

Section: Methodsmentioning

confidence: 99%

Neurophysiological Assessment of An Innovative Maritime Safety System in Terms of Ship Operators’ Mental Workload, Stress, and Attention in the Full Mission Bridge Simulator

Ronca,

Uflaz,

Turan

et al. 2023

Brain Sciences

View full text Add to dashboard Cite

The current industrial environment relies heavily on maritime transportation. Despite the continuous technological advances for the development of innovative safety software and hardware systems, there is a consistent gap in the scientific literature regarding the objective evaluation of the performance of maritime operators. The human factor is profoundly affected by changes in human performance or psychological state. The difficulty lies in the fact that the technology, tools, and protocols for investigating human performance are not fully mature or suitable for experimental investigation. The present research aims to integrate these two concepts by (i) objectively characterizing the psychological state of mariners, i.e., mental workload, stress, and attention, through their electroencephalographic (EEG) signal analysis, and (ii) validating an innovative safety framework countermeasure, defined as Human Risk-Informed Design (HURID), through the aforementioned neurophysiological approach. The proposed study involved 26 mariners within a high-fidelity bridge simulator while encountering collision risk in congested waters with and without the HURID. Subjective, behavioral, and neurophysiological data, i.e., EEG, were collected throughout the experimental activities. The results showed that the participants experienced a statistically significant higher mental workload and stress while performing the maritime activities without the HURID, while their attention level was statistically lower compared to the condition in which they performed the experiments with the HURID (all p < 0.05). Therefore, the presented study confirmed the effectiveness of the HURID during maritime operations in critical scenarios and led the way to extend the neurophysiological evaluation of the HFs of maritime operators during the performance of critical and/or standard shipboard tasks.

show abstract

Section: Methodsmentioning

confidence: 99%

Neurophysiological Assessment of An Innovative Maritime Safety System in Terms of Ship Operators’ Mental Workload, Stress, and Attention in the Full Mission Bridge Simulator

Ronca,

Uflaz,

Turan

et al. 2023

Brain Sciences

View full text Add to dashboard Cite

show abstract

“…Zamudio et al performed a prospective study quantifying the workload experienced by all surgical team member during robotic surgery [ 33 ]. They found that surgeons and circulating nurses reported the highest workload.…”

Section: Impact Of Workflow Disruptions On Cwlmentioning

confidence: 99%

Cognitive ergonomics and robotic surgery

Wong,

Crowe

2024

J Robotic Surg

View full text Add to dashboard Cite

Cognitive ergonomics refer to mental resources and is associated with memory, sensory motor response, and perception. Cognitive workload (CWL) involves use of working memory (mental strain and effort) to complete a task. The three types of cognitive loads have been divided into intrinsic (dependent on complexity and expertise), extraneous (the presentation of tasks) and germane (the learning process) components. The effect of robotic surgery on CWL is complex because the postural, visualisation, and manipulation ergonomic benefits for the surgeon may be offset by the disadvantages associated with team separation and reduced situation awareness. Physical fatigue and workflow disruptions have a negative impact on CWL. Intraoperative CWL can be measured subjectively post hoc with the use of self-reported instruments or objectively with real-time physiological response metrics. Cognitive training can play a crucial role in the process of skill acquisition during the three stages of motor learning: from cognitive to integrative and then to autonomous. Mentorship, technical practice and watching videos are the most common traditional cognitive training methods in surgery. Cognitive training can also occur with computer-based cognitive simulation, mental rehearsal, and cognitive task analysis. Assessment of cognitive skills may offer a more effective way to differentiate robotic expertise level than automated performance (tool-based) metrics.

show abstract

The stress for surgeons: exploring stress entities with the robotic senhance surgical system

Menke,

Hansen,

Schmidt

et al. 2024

J Robotic Surg

View full text Add to dashboard Cite

Demands of surgical teams in robotic-assisted surgery: An assessment of intraoperative workload within different surgical specialties

Cited by 10 publications

References 30 publications

Neurophysiological Assessment of An Innovative Maritime Safety System in Terms of Ship Operators’ Mental Workload, Stress, and Attention in the Full Mission Bridge Simulator

Neurophysiological Assessment of An Innovative Maritime Safety System in Terms of Ship Operators’ Mental Workload, Stress, and Attention in the Full Mission Bridge Simulator

Cognitive ergonomics and robotic surgery

The stress for surgeons: exploring stress entities with the robotic senhance surgical system

Contact Info

Product

Resources

About