Baldwin Andrew C W, Mallidi Hari R, Baldwin John C, Sandoval Elena, Cohn William E, Frazier O H, Singh Steve K
Division of Cardiopulmonary Transplantation, Texas Heart Institute, Houston, TX, USA.
Yale School of Medicine, New Haven, CT, USA.
World J Surg. 2016 Jan;40(1):242-4. doi: 10.1007/s00268-015-3235-x.
In the setting of increasingly complex medical therapies and limited physician resources, the recent emergence of 'smart' technology offers tremendous potential for improved logistics, efficiency, and communication between medical team members. In an effort to harness these capabilities, we sought to evaluate the utility of this technology in surgical practice through the employment of a wearable camera device during cardiothoracic organ recovery.
A single procurement surgeon was trained for use of an Explorer Edition Google Glass (Google Inc., Mountain View, CA) during the recovery process. Live video feed of each procedure was securely broadcast to allow for members of the home transplant team to remotely participate in organ assessment. Primary outcomes involved demonstration of technological feasibility and validation of quality assurance through group assessment.
The device was employed for the recovery of four organs: a right single lung, a left single lung, and two bilateral lung harvests. Live video of the visualization process was remotely accessed by the home transplant team, and supplemented final verification of organ quality. In each case, the organs were accepted for transplant without disruption of standard procurement protocols. Media files generated during the procedures were stored in a secure drive for future documentation, evaluation, and education purposes without preservation of patient identifiers.
Live video streaming can improve quality assurance measures by allowing off-site members of the transplant team to participate in the final assessment of donor organ quality. While further studies are needed, this project suggests that the application of mobile 'smart' technology offers not just immediate value, but the potential to transform our approach to the practice of medicine.
在医疗治疗日益复杂且医生资源有限的背景下，最近出现的“智能”技术为改善医疗团队成员之间的后勤、效率和沟通提供了巨大潜力。为了利用这些功能，我们试图通过在心胸器官获取过程中使用可穿戴摄像设备来评估该技术在外科手术实践中的效用。
一名采购外科医生接受了在获取过程中使用谷歌眼镜探索者版（谷歌公司，加利福尼亚州山景城）的培训。每个手术的实时视频被安全地传输，以便移植团队的成员能够远程参与器官评估。主要结果包括技术可行性的证明以及通过小组评估进行质量保证的验证。
该设备用于获取四个器官：一个右单肺、一个左单肺和两个双侧肺。移植团队在家中远程访问了可视化过程的实时视频，并补充了对器官质量的最终核查。在每种情况下，这些器官都被接受用于移植，且未打乱标准的获取方案。手术过程中生成的媒体文件存储在安全驱动器中，用于未来的记录、评估和教育目的，同时不保留患者标识符。
实时视频流可以通过让移植团队的场外成员参与供体器官质量的最终评估来改善质量保证措施。虽然还需要进一步研究，但该项目表明，移动“智能”技术的应用不仅具有直接价值，而且有可能改变我们的医学实践方法。
