Principles of Sedation and Analgesia

2018 ◽  
pp. 64-74
Author(s):  
Alan Kotin ◽  
Jennifer Mascarenhas ◽  
Mary Fischer
Keyword(s):  
Interventional Radiology ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Operating Room ◽  
Invasive Surgery ◽  
Joint Commission ◽  
Interventional Radiologist ◽  
Remote Locations ◽  
Sedation And Analgesia ◽  
Increasing Demand

The interventional radiology (IR) suite has created an increasing demand for anesthesia services. Also, technological advancements and a movement toward minimally invasive surgery have moved procedures once performed in the operating room (OR) to IR suites, often in remote locations. Historically, patient sedation in the IR suite has been administered under the supervision of the interventional radiologist, utilizing conscious sedation. The updated Joint Commission regulations have fostered a closer relationship between anesthesia services and IR programs. Despite the apparent simplicity of this relationship, providing anesthesia services in remote locations can be challenging. This relationship requires that the specialties become familiar with each other. The increased need for anesthesia has also created a demand for expertise in non-OR anesthesia (NORA). This chapter discusses the principles of sedation and analgesia, as well as the role and challenges that the anesthesia team faces while providing service in the IR suite.

Ergonomics of minimally invasive surgery: an analysis of muscle effort and fatigue in the operating room between laparoscopic and robotic surgery

2018 ◽  
Vol 33 (7) ◽  
pp. 2323-2331 ◽  
Author(s):  
Priscila R. Armijo ◽  
Chun-Kai Huang ◽  
Robin High ◽  
Melissa Leon ◽  
Ka-Chun Siu ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Robotic Surgery ◽  
Minimally Invasive ◽  
Operating Room ◽  
Invasive Surgery

scholarly journals Comprehensive Training Curricula for Minimally Invasive Surgery

2011 ◽  
Vol 3 (3) ◽  
pp. 293-298 ◽  
Author(s):  
Vanessa N Palter
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Operating Room ◽  
Invasive Surgery ◽  
Simulation Training ◽  
Technical Skills ◽  
Laboratory Simulation ◽  
Viable Systems ◽  
Skills Laboratory ◽  
Comprehensive Curriculum

Abstract Background The unique skill set required for minimally invasive surgery has in part contributed to a certain portion of surgical residency training transitioning from the operating room to the surgical skills laboratory. Simulation lends itself well as a method to shorten the learning curve for minimally invasive surgery by allowing trainees to practice the unique motor skills required for this type of surgery in a safe, structured environment. Although a significant amount of important work has been done to validate simulators as viable systems for teaching technical skills outside the operating room, the next step is to integrate simulation training into a comprehensive curriculum. Objectives This narrative review aims to synthesize the evidence and educational theories underlining curricula development for technical skills both in a broad context and specifically as it pertains to minimally invasive surgery. Findings The review highlights the critical aspects of simulation training, such as the effective provision of feedback, deliberate practice, training to proficiency, the opportunity to practice at varying levels of difficulty, and the inclusion of both cognitive teaching and hands-on training. In addition, frameworks for integrating simulation training into a comprehensive curriculum are described. Finally, existing curricula on both laparoscopic box trainers and virtual reality simulators are critically evaluated.

Dedicated minimally invasive surgery suites increase operating room efficiency

2001 ◽  
Vol 15 (10) ◽  
pp. 1140-1143 ◽  
Author(s):  
T.A.G. Kenyon ◽  
D.R. Urbach ◽  
J.B. Speer ◽  
B. Waterman-Hukari ◽  
G.F. Foraker ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Operating Room ◽  
Invasive Surgery ◽  
Operating Room Efficiency

Construct Validity for the UCLA Laparoscopic Training System

2008 ◽  
Author(s):  
V. Nistor ◽  
B. Allen ◽  
P. Faloutsos ◽  
E. Dutson ◽  
G. P. Carman
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Construct Validity ◽  
Invasive Surgery ◽  
Objective Assessment ◽  
Training System ◽  
Laparoscopic Training ◽  
Training Simulator ◽  
Training Systems ◽  
Increasing Demand

This study aims to establish the construct validity of new Laparoscopic Training Simulator (LTS) developed at UCLA. The system was developed due to the increasing demand for Minimally Invasive Surgery (MIS) coupled with the difficulty associated in training surgeons in the use of MIS techniques with traditional apprenticeship models. In addition to training issues, there exists an immediate need for an objective assessment of Minimally Invasive Surgery (MIS) skills and techniques required to ensure safe and high quality treatment as previously established [1]. While currently available training systems have been used they are slow in educating new surgeons and they do not provide an objective assessment. The new system developed UCLA-LTS [2] addresses these very issues by combining the simplicity of the traditional training box with the advances in computer simulation technology to both train and to assess skill level.

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