ROBOT YARDIMLI CERRAHİ GİRİŞİMLERDE İKİNCİ GÜVENLİ CERRAHİ KONTROL LİSTESİ KULLANIMININ ÖNEMİ (THE SECOND “TIME-OUT”)

Year 2022, Volume: 2 Issue: 2, 539 - 547, 25.08.2022

Esra Kılınç Akman , Fatma Balcı , Nevin Kanan

https://doi.org/10.56061/fbujohs.1141442

Abstract

Teknolojideki önemli gelişmeler cerrahi süreçleri de etkileyerek ameliyatlarda yeni tekniklerin kullanılmasına olanak sağladı. Ameliyatlarda geleneksel yöntemlerin yanı sıra robotlar da kullanılmaya başlandı. Robotların kullanılmasıyla gerçekleştirilen cerrahi girişimler “Robotik Cerrahi” olarak adlandırılmakta olup, insanlık için yeni ufuklar açan ve sürekli gelişen güncel bir teknolojidir. Robotik cerrahi, daha az kan kaybı, daha düşük transfüzyon hızı ve kısa iyileşme süresi gibi avantajları nedeniyle hastalar, cerrahlar ve hemşireler için birçok avantaja sahiptir. Hemşirelerin, teknolojik gelişmeleri takip ederek uyum sağlamaları ve profesyonel hemşirelik rollerini artırmaları beklenmektedir. Robotik cerrahide diğer önemli konu da hasta güvenliği olup, hastanın pozisyonu özel bir endişe kaynağıdır. Robotik cerrahi sonrası gelişebilecek komplikasyonlar, hasta pozisyonunun uygun olmaması ve hasta güvenliğinin tam sağlanmamasından kaynaklanabilir. Dünya Sağlık Örgütü’nün 2008 yılında yayınladığı güvenli cerrahi kontrol listesinde yer alan “time-out”un uygulanması ile perioperatif süreçte morbidite ve mortalitede azalma olduğu belirlenmiştir. Robotik cerrahi ameliyatlarında, ameliyat başladıktan 3-4 saat sonra “time-out” un tekrar uygulanmasıyla gelişebilecek komplikasyonlar önlenebilmektedir. Bu makalede robotik cerrahide ikinci güvenli cerrahi kontrol listesinin ülkemiz koşullarına uyarlanması amaçlandı.

Keywords

hasta güvenliği, kontrol listesi,, robotik cerrahi işlemler

THE IMPORTANCE OF USING THE SECOND SAFE SURGICAL CHECKLIST TO ROBOT-ASSISTED SURGERY (THE SECOND “TIME-OUT”)

Abstract

Significant advances in technology have also affected surgical processes, allowing new techniques to be used in surgeries. In addition to traditional methods, robots began to be used in surgeries. Surgical interventions performed with the use of robots are called "Robotic Surgery," and it is an up-to-date technology that opens new horizons for humanity and is constantly developing. Robotic surgery has many advantages for patients, surgeons, and nurses due to its advantages such as less blood loss, lower transfusion rate, and shorter recovery time. Nurses are expected to adapt to and increase their professional nursing roles by following technological developments. Another important issue in robotic surgery is patient safety and the patient's position is a particular concern. Complications that may develop after robotic surgery may result from inappropriate patient positioning and incomplete patient safety. It has been determined that there is a decrease in morbidity and mortality in the perioperative period with the application of "time-out," which is included in the safe surgery checklist published by the World Health Organization in 2008. Complications that may develop in robotic surgery operations can be prevented by re-applying the “time-out” 3-4 hours after the start of the operation. In this article, it was aimed to adapt the second safe surgery checklist in robotic surgery to the conditions in our country.

Keywords

control list, patient safety, robotic surgical procedures

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