By Jr W. Randolph Chitwood, Rebekah Dodson
Robotic surgical procedure is at present without sufficient didactic fabric essential to facilitate day-by-day software in cardiothoracic surgical perform. This ebook represents the definitive atlas that would lead either the working towards and new cardiothoracic surgeons in those tools. it's going to outline the operative pathway of every method, from commencing to finish, for surgeons who desire to be an entire robot cardiac health care provider and comprise tricks and procedural pitfalls derived from the studies of bankruptcy members. The e-book may be illustrated with prime quality illustrations and colour pictures from surgical operations the place applicable. top surgeons have contributed to the e-book and supplied pattern illustrations for his or her respective chapters. Anesthetic and cardiopulmonary help coaching for every operation can be integrated and chosen references may be supplied to stress evidence-based outcomes.
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27. Falk V, Autschbach R, Walther T, Diegeler A, Chitwood WR, Mohr FW. Computer enhanced mitral valve surgery—towards a total endoscopic procedure. Sem Thorac Surg. 1999;11:244–9. 28. Falk V, Diegeler A, Walther T, Banusch J, Brucerius J, Raumans J, et al. Total endoscopic coronary artery bypass grafting. Eur J Cardiothorac Surg. 2000;17:38–45. 29. Mohr FW, Falk V, Diegeler A, Walther T, Bucerius J, Jacobs S, et al. Computer-enhanced robotic cardiac surgery—experience in 148 patients. J Thorac Cardiovasc Surg.
Moreover, TEE helps identify anatomic abnormalities, or variants, including a Thebesian valve, Chiari network, or a persistent left-sided superior vena cava, all of which can make placement of a coronary sinus catheter either very difficult or impossible. Fluoroscopy can also be used to guide and verify proper placement of these catheters within the coronary sinus (Fig. 11). Ventricularization of the coronary sinus pressure waveform, during slow catheter balloon inflation, can verify proper placement (Fig.
Institutional Commitment • Hospital Adminiatration • Lead Surgeon Team Organization • • • • Anesthesia Perfusion OR Nursing Database Other Key Factors • • • • Cardiac Volume Cardiology Support Surgeon Experience ICU Support Fig. W. R. Chitwood, Jr. Robotic Surgical Team Training Team training remains the most important step in program development and should follow an objective-based curriculum that measures clinical outcomes (Fig. 2). During our Phase I and Phase II clinical trials, the FDA mandated institutional team training with a designated lead surgeon.