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The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement


1 Department of Anesthesiology, Mayo Clinic Arizona, AZ 85054, USA
2 Division of Cardiovascular Diseases, Mayo Clinic Arizona, AZ 85054, USA
3 Department of Critical Care, Mayo Clinic Arizona, AZ 85054, USA
4 Division of Cardiovascular and Thoracic Surgery, Mayo Clinic Arizona, AZ 85054, USA
5 Department of Catheterization Laboratory, Mayo Clinic Arizona, AZ 85054, USA
6 Division of Cardiovascular and Thoracic Anesthesiology, Mayo Clinic Arizona, AZ 85054, USA

Correspondence Address:
Harish Ramakrishna
Department of Anesthesiology, Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.192576

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Year : 2016  |  Volume : 19  |  Issue : 5  |  Page : 6-11

 

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Background: The surgical and procedural specialties are continually evolving their methods to include more complex and technically difficult cases. These cases can be longer and incorporate multiple teams in a different model of operating room synergy. Patients are frequently older, with comorbidities adding to the complexity of these cases. Recording of this environment has become more feasible recently with advancement in video and audio capture systems often used in the simulation realm. Aims: We began using live capture to record a new procedure shortly after starting these cases in our institution. This has provided continued assessment and evaluation of live procedures. The goal of this was to improve human factors and situational challenges by review and debriefing. Setting and Design: B-Line Medical's LiveCapture video system was used to record successive transcatheter aortic valve replacement (TAVR) procedures in our cardiac catheterization/laboratory. An illustrative case is used to discuss analysis and debriefing of the case using this system. Results and Conclusions: An illustrative case is presented that resulted in long-term changes to our approach of these cases. The video capture documented rare events during one of our TAVR procedures. Analysis and debriefing led to definitive changes in our practice. While there are hurdles to the use of this technology in every institution, the role for the ongoing use of video capture, analysis, and debriefing may play an important role in the future of patient safety and human factors analysis in the operating environment.






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1 Department of Anesthesiology, Mayo Clinic Arizona, AZ 85054, USA
2 Division of Cardiovascular Diseases, Mayo Clinic Arizona, AZ 85054, USA
3 Department of Critical Care, Mayo Clinic Arizona, AZ 85054, USA
4 Division of Cardiovascular and Thoracic Surgery, Mayo Clinic Arizona, AZ 85054, USA
5 Department of Catheterization Laboratory, Mayo Clinic Arizona, AZ 85054, USA
6 Division of Cardiovascular and Thoracic Anesthesiology, Mayo Clinic Arizona, AZ 85054, USA

Correspondence Address:
Harish Ramakrishna
Department of Anesthesiology, Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.192576

Rights and Permissions

Background: The surgical and procedural specialties are continually evolving their methods to include more complex and technically difficult cases. These cases can be longer and incorporate multiple teams in a different model of operating room synergy. Patients are frequently older, with comorbidities adding to the complexity of these cases. Recording of this environment has become more feasible recently with advancement in video and audio capture systems often used in the simulation realm. Aims: We began using live capture to record a new procedure shortly after starting these cases in our institution. This has provided continued assessment and evaluation of live procedures. The goal of this was to improve human factors and situational challenges by review and debriefing. Setting and Design: B-Line Medical's LiveCapture video system was used to record successive transcatheter aortic valve replacement (TAVR) procedures in our cardiac catheterization/laboratory. An illustrative case is used to discuss analysis and debriefing of the case using this system. Results and Conclusions: An illustrative case is presented that resulted in long-term changes to our approach of these cases. The video capture documented rare events during one of our TAVR procedures. Analysis and debriefing led to definitive changes in our practice. While there are hurdles to the use of this technology in every institution, the role for the ongoing use of video capture, analysis, and debriefing may play an important role in the future of patient safety and human factors analysis in the operating environment.






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