TY - JOUR
T1 - Design Requirements of Robotic Systems for Assisting Percutaneous Tracheostomy: a Scoping Review and Development Framework
AU - Tang, Yuan
AU - Li, Lutong
AU - Lu, Zhanghao
AU - Haron, Athia
AU - Adorno, Bruno Vilhena
AU - Mcgrath, Brendan
AU - Weightman, Andrew
PY - 2023/8/30
Y1 - 2023/8/30
N2 - Percutaneous dilatational tracheostomy (PDT) is a common procedure for patients managed in Intensive Care Units (ICUs). PDT has equivalent complication rates to surgical tracheostomy but can be performed at the ICU bedside, eliminating delays in the procedure. However, PDT complications associated with initial needle insertion into the trachea still exist and can cause severe consequences such as pneumothorax, major haemorrhage, and death. Robotic technology is a powerful adjunct to assist manual surgery, improving procedural safety and accuracy. Whilst robotic surgery of the airway has become established, there is limited research and guidance regarding robotics to assist tracheostomy insertions. This study aims to identify design requirements that map clinical needs to design details and motivate the development of a scientific design framework in robotic tracheostomy. A literature search in Google Scholar, PubMed, and Web of Science on topics relevant to robotic tracheostomy was conducted. Clinical requirements were evaluated by distributing an online questionnaire to professional clinicians. Thirteen eligible studies were presented, from which36 design requirements in four categories were collected. We present a design framework to inform the development of robotic tracheostomy with key requirements validated for suitability by relevant healthcare professionals
AB - Percutaneous dilatational tracheostomy (PDT) is a common procedure for patients managed in Intensive Care Units (ICUs). PDT has equivalent complication rates to surgical tracheostomy but can be performed at the ICU bedside, eliminating delays in the procedure. However, PDT complications associated with initial needle insertion into the trachea still exist and can cause severe consequences such as pneumothorax, major haemorrhage, and death. Robotic technology is a powerful adjunct to assist manual surgery, improving procedural safety and accuracy. Whilst robotic surgery of the airway has become established, there is limited research and guidance regarding robotics to assist tracheostomy insertions. This study aims to identify design requirements that map clinical needs to design details and motivate the development of a scientific design framework in robotic tracheostomy. A literature search in Google Scholar, PubMed, and Web of Science on topics relevant to robotic tracheostomy was conducted. Clinical requirements were evaluated by distributing an online questionnaire to professional clinicians. Thirteen eligible studies were presented, from which36 design requirements in four categories were collected. We present a design framework to inform the development of robotic tracheostomy with key requirements validated for suitability by relevant healthcare professionals
KW - Tracheostomy
KW - design
KW - requirement
KW - review
KW - robot
UR - http://www.scopus.com/inward/record.url?scp=85169701174&partnerID=8YFLogxK
U2 - 10.1109/TMRB.2023.3309946
DO - 10.1109/TMRB.2023.3309946
M3 - Article
SN - 2576-3202
VL - 5
SP - 754
EP - 767
JO - IEEE Transactions on Medical Robotics and Bionics
JF - IEEE Transactions on Medical Robotics and Bionics
IS - 4
ER -