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Overcoming distance: video-conferencing as a clinical and educational tool among surgeons.

Augestad KM, Lindsetmo RO - World J Surg (2009)

Bottom Line: Since the 1960s, there has been substantial development in the uses of video-conferencing (VC) among medical personnel, including surgeons who have adopted the technology.A total of 517 articles were identified with 51 relevant manuscripts, which included the key phrases.VC is a common clinical tool for surgeons and provides a great opportunity to alter surgical practice and to offer patients the best expertise in surgical treatment despite long distances, especially in rural areas.

View Article: PubMed Central - PubMed

Affiliation: Norwegian Centre for Telemedicine, Tromsø, Norway. knut.magne.augestad@telemed.no

ABSTRACT

Background: Since the 1960s, there has been substantial development in the uses of video-conferencing (VC) among medical personnel, including surgeons who have adopted the technology.

Methods: A report on our own experience with VC was combined with a comprehensive PubMed search with the key words telepresence, video-conferencing, video-teleconferencing, telementoring and surgery, trauma, follow-up, education, and multidisciplinary teams. A search through two peer-reviewed telemedicine journals -- Journal of Telemedicine and Telecare and Telemedicine and e-Health Journal -- and references of all included papers and identified additional reports was conducted.

Results: A total of 517 articles were identified with 51 relevant manuscripts, which included the key phrases. VC is widely used among surgeons for telementoring surgical procedures and in trauma and emergency medicine. Furthermore, VC is widely used by multidisciplinary teams and for the follow-up of patients after surgery.

Conclusions: VC is a common clinical tool for surgeons and provides a great opportunity to alter surgical practice and to offer patients the best expertise in surgical treatment despite long distances, especially in rural areas.

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Related in: MedlinePlus

Trauma mentoring. The trauma surgeons are located at the university hospital in northern Norway 600 miles away and have remote control of two cameras in the trauma room in Spitsbergen (one camera at the wall and one camera directly above the patient)
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Fig1: Trauma mentoring. The trauma surgeons are located at the university hospital in northern Norway 600 miles away and have remote control of two cameras in the trauma room in Spitsbergen (one camera at the wall and one camera directly above the patient)

Mentions: A VC system, configured and modified for this purpose, was implemented at Longyearbyen Hospital Spitsbergen and the Dispatch Centre at University Hospital of North Norway some 600 miles apart. The technical solution was based on a high-capacity fiberoptic cable between the island and mainland Norway, provided by the National Aeronautics and Space Administration (NASA) during the construction of Svalbard Satellite Station (SvalSat) [33]. In the trauma room in Spitsbergen, a VC unit with an oversight camera and a camera on the ceiling, which was able to zoom and change angles, were installed (Fig. 1). This VC unit was connected with the University Hospital trauma VC room. In this VC room, the trauma surgeons have remote control of the cameras in Spitsbergen (Fig. 2), and biological parameters are shown on a separate screen. From Tromsø the trauma surgeons can follow the development of the situation and together with the local team decide priorities, treatment, procedures, transport, and need for support. During the project period, much of the focus on the testing was on team communication and interaction. The project was intended to improve the communication between the medical staff at the local hospital and the trauma surgeons in the university hospital by using VC. The study focused on the possible benefits of VC. Are the decisions quicker and more correct? Does the communication improve cooperation and local competence?Fig. 1


Overcoming distance: video-conferencing as a clinical and educational tool among surgeons.

Augestad KM, Lindsetmo RO - World J Surg (2009)

Trauma mentoring. The trauma surgeons are located at the university hospital in northern Norway 600 miles away and have remote control of two cameras in the trauma room in Spitsbergen (one camera at the wall and one camera directly above the patient)
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2691934&req=5

Fig1: Trauma mentoring. The trauma surgeons are located at the university hospital in northern Norway 600 miles away and have remote control of two cameras in the trauma room in Spitsbergen (one camera at the wall and one camera directly above the patient)
Mentions: A VC system, configured and modified for this purpose, was implemented at Longyearbyen Hospital Spitsbergen and the Dispatch Centre at University Hospital of North Norway some 600 miles apart. The technical solution was based on a high-capacity fiberoptic cable between the island and mainland Norway, provided by the National Aeronautics and Space Administration (NASA) during the construction of Svalbard Satellite Station (SvalSat) [33]. In the trauma room in Spitsbergen, a VC unit with an oversight camera and a camera on the ceiling, which was able to zoom and change angles, were installed (Fig. 1). This VC unit was connected with the University Hospital trauma VC room. In this VC room, the trauma surgeons have remote control of the cameras in Spitsbergen (Fig. 2), and biological parameters are shown on a separate screen. From Tromsø the trauma surgeons can follow the development of the situation and together with the local team decide priorities, treatment, procedures, transport, and need for support. During the project period, much of the focus on the testing was on team communication and interaction. The project was intended to improve the communication between the medical staff at the local hospital and the trauma surgeons in the university hospital by using VC. The study focused on the possible benefits of VC. Are the decisions quicker and more correct? Does the communication improve cooperation and local competence?Fig. 1

Bottom Line: Since the 1960s, there has been substantial development in the uses of video-conferencing (VC) among medical personnel, including surgeons who have adopted the technology.A total of 517 articles were identified with 51 relevant manuscripts, which included the key phrases.VC is a common clinical tool for surgeons and provides a great opportunity to alter surgical practice and to offer patients the best expertise in surgical treatment despite long distances, especially in rural areas.

View Article: PubMed Central - PubMed

Affiliation: Norwegian Centre for Telemedicine, Tromsø, Norway. knut.magne.augestad@telemed.no

ABSTRACT

Background: Since the 1960s, there has been substantial development in the uses of video-conferencing (VC) among medical personnel, including surgeons who have adopted the technology.

Methods: A report on our own experience with VC was combined with a comprehensive PubMed search with the key words telepresence, video-conferencing, video-teleconferencing, telementoring and surgery, trauma, follow-up, education, and multidisciplinary teams. A search through two peer-reviewed telemedicine journals -- Journal of Telemedicine and Telecare and Telemedicine and e-Health Journal -- and references of all included papers and identified additional reports was conducted.

Results: A total of 517 articles were identified with 51 relevant manuscripts, which included the key phrases. VC is widely used among surgeons for telementoring surgical procedures and in trauma and emergency medicine. Furthermore, VC is widely used by multidisciplinary teams and for the follow-up of patients after surgery.

Conclusions: VC is a common clinical tool for surgeons and provides a great opportunity to alter surgical practice and to offer patients the best expertise in surgical treatment despite long distances, especially in rural areas.

Show MeSH
Related in: MedlinePlus