Cybertools improve reaction time in open heart surgery

Beuchat, Antoine ; Taub, Steven ; Saby, Jean-Damien ; Dierick, Vincent ; Codeluppi, Gianmarco ; Corno, Antonio F. ; von Segesser, Ludwig K.

In: European Journal of Cardio-Thoracic Surgery, 2005, vol. 27, no. 2, p. 266-269

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    Objective: Head-up displays allow the surgeons to simultaneously view the patient and the patient's vital parameters (ECG, blood pressure, etc.) using vision-through over a wireless net, potentially enhancing the speed, accuracy and safety of surgical decisions. The aim was to assess surgical reaction time to AFIB, bigeminy, trigeminy, VTACH, and VFIB and concentration during a surgical intervention comparing standard and cyber tools monitoring. Methods: Using a patient simulator for beating heart surgery able to emulate heart signals and motion (arrhythmias) a group of surgeons performed coronary bypass procedures. Measurements of reaction time, efficiency of the surgeon, time elapsed to display a coronary angiography in a realistic surgical environment were taken. Results: The duration to accomplish the experiment is not different between groups (cyber vs. standard) reaction times, however, are significantly decreased for cyber by a mean of 33%. There is also a measured time difference for displaying a coronary angiography within the head-up display as compared to a remote console. Conclusions: During surgery, modern cyber tools allow for significant improvements of reaction time and concentration due to real time access to vital information