The rise of robots in surgical environments during COVID-19
The rise of robots in surgical environments during COVID-19
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DOI：
10.1038/s42256-020-00238-2
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发表时间：
2020-10-01
影响因子：
23.8
通讯作者：
Nelson, Bradley J.
中科院分区：
文献类型：
--
作者：
Zemmar, Ajmal;Lozano, Andres M.;Nelson, Bradley J.
机器人可以在改变医疗保健以应对COVID-19大流行方面发挥重要作用。这一观点强调了机器人技术如何集成到手术环境中的一系列任务中，有助于确保医疗服务的连续性，同时降低感染风险。2019冠状病毒病大流行改变了我们的世界，影响了我们社会的多个层面。所有一线工作人员，特别是与患者直接接触的工作人员都面临重大风险。为了减轻病原体传播并保护保健工作者和患者，医疗服务在很大程度上受到限制，包括取消选择性手术，这给患者造成了沉重负担，给各医院造成了巨大的经济损失。集成机器人作为屏蔽层，将医护人员和患者物理隔离，是对抗无处不在的对病原体污染的恐惧和保持手术量的强大工具。在这一观点中，我们概述了术前、术中和术后护理的详细场景，其中机器人和人工智能的使用可以减轻感染性污染，并在大量患者涌入时帮助手术环境中的患者管理。我们还讨论了手术机器人系统的成本效益和效益，超出了它们在流行病中的应用。当前的大流行给医院带来了前所未有的需求。数字化和机器智能在医疗保健领域发挥着越来越重要的作用。他们留下的遗产很可能比大流行更持久，并彻底改变外科手术的表现和管理。
Robots could play an important part in transforming healthcare to cope with the COVID-19 pandemic. This Perspective highlights how robotic technology integrated in a range of tasks in the surgical environment could help to ensure a continuation of medical services while reducing the risk of infection.The COVID-19 pandemic has changed our world and impacted multiple layers of our society. All frontline workers and in particular those in direct contact with patients have been exposed to major risk. To mitigate pathogen spread and protect healthcare workers and patients, medical services have been largely restricted, including cancellation of elective surgeries, which has posed a substantial burden for patients and immense economic loss for various hospitals. The integration of a robot as a shielding layer, physically separating the healthcare worker and patient, is a powerful tool to combat the omnipresent fear of pathogen contamination and maintain surgical volumes. In this Perspective, we outline detailed scenarios in the pre-, intra- and postoperative care, in which the use of robots and artificial intelligence can mitigate infectious contamination and aid patient management in the surgical environment during times of immense patient influx. We also discuss cost-effectiveness and benefits of surgical robotic systems beyond their use in pandemics. The current pandemic creates unprecedented demands for hospitals. Digitization and machine intelligence are gaining significance in healthcare to combat the virus. Their legacy may well outlast the pandemic and revolutionize surgical performance and management.