Pande Ravi U, Patel Yatin, Powers Colin J, D'Ancona Giuseppe, Karamanoukian Hratch L
Division of Cardiothoracic Surgery, State University of New York at Buffalo, Buffalo, New York, USA.
Curr Surg. 2003 Nov-Dec;60(6):636-40. doi: 10.1016/j.cursur.2003.07.009.
In the present review, we analyze the achievements of telecommunication innovations in the medical field focusing on patient care and medical-education aspects. In this regard, the telecommunication revolution has offered medical professionals the possibility to transmit information of any sort zeroing transmission time latency and annihilating spatial distances. Although telemedicine is still in its infancy, multiple applications of this science have already been successfully tested. As an example, robotically mediated telesurgery has it made possible for surgeons to operate standing at a considerable distance from the operating table without even touching or directly seeing the surgical field. Moreover, medical education and medical consulting have acquired new and wider ranges of applicability thanks to the introduction of teleproctoring, telementoring, and teleconsulting. Finally, in the very near future, telepresence surgery will permit "virtual" operations on patients where surgeons can project their manual dexterity, psychomotor skills, and problem-solving ability to remote locations. In this context, telemedicine will support a more equal distribution of medical knowledge and promote excellence in patients' care even in the most disadvantaged environments.
在本综述中,我们分析了电信创新在医疗领域的成就,重点关注患者护理和医学教育方面。在这方面,电信革命为医学专业人员提供了传输任何类型信息的可能性,将传输时间延迟降至零,并消除空间距离。尽管远程医疗仍处于起步阶段,但这门科学的多种应用已经成功进行了测试。例如,机器人介导的远程手术使外科医生能够在距离手术台相当远的地方操作,甚至无需接触或直接查看手术区域。此外,由于引入了远程监考、远程指导和远程咨询,医学教育和医疗咨询获得了新的、更广泛的适用性。最后,在不久的将来,远程临场手术将允许对患者进行“虚拟”手术,外科医生可以将他们的手动灵巧性、心理运动技能和解决问题的能力投射到远程位置。在这种背景下,远程医疗将支持医学知识更公平的分配,并即使在最不利的环境中也能促进患者护理的卓越性。