Volume 15 Supplement 1

31st International Symposium on Intensive Care and Emergency Medicine

Open Access

Robotic telepresence in acute care facilities in community hospitals in Mexico

  • G Vazquez de Anda1,
  • S Larraza Rico2,
  • L De la Cruz Avila2,
  • S Resendiz2,
  • M Escudero2,
  • R Tapia Rodriguez2,
  • Y Gutierrez Mariano2,
  • G Diaz Diego2,
  • J Mejia Nava2 and
  • R Camacho Beiza2
Critical Care201115(Suppl 1):P483

https://doi.org/10.1186/cc9903

Published: 1 March 2011

Introduction

Telepresence using robots (TPR) in acute care facilities (ACF) is being increasingly accepted as a new and practical way of solving the shortage of intensivists in community hospitals (CH) where there are not specialists available 24/7 [1, 2]. The main objective of this study is to show the early experience of using TPR in four CH in Mexico.

Methods

Four CH with 60 beds each were fully equipped with a telepresence system that includes: high-speed connectivity, wireless Internet access, a RP-7i robot (INTOUCH HEALTH, Santa Barbara, CA, USA), three computers (laptops) per hospital and one central computer based at the MPH. Additionally, all four CH has a specific team for technical support. The CH cover medical care to people without social security and are far away from the capital city at not less than 42 km (Tenancingo 42 km, Atlacomulco 63 km, Valle de Bravo 85 km and Tejupilco 90 km). The program includes a team of certified intensivists that is based at MPH. The task of the team is to assist physicians in ACF, which includes the emergency room (ER), ICUs and the operating room (OR). The program includes: rounds at ACF every day three times a day 24/7 and every time that it is needed. The MPH team gives assistance in: advanced trauma life support (ATLS), advanced cardiovascular life support (ACLS), advance life support for pregnant women (APLS), neurological support (NS), rapid response team support (RRTS), and air transportation assistance (AT). Hospitalization, discharge, transfer to high-care hospitals, and mortality were recorded.

Results

From 1 May to 30 November 2010, 319 patients were attended by the MPH team: 54 ER patients, 16 ATLS and 66 ACLS interventions, 106 ICU patients, 17 interventions as RRTS, 76 APLS, six AT, 27 OR assistances, and 22 NS. Forty-five percent of patients were discharged home, 25% were transferred to high-care hospitals, 9% were still in hospital and the total mortality rate was 19%.

Conclusions

This preliminary report shows that the practice of telepresence using robots in ACF is feasible at community hospitals in Mexico. Additionally, we observed minimal resistance to the expertise given by the MPH team.

Authors’ Affiliations

(1)
Universidad Autonoma del Estado de Mexico
(2)
Hospital Materno Perinatal Monica Pretelini del Instituto de Salud del Estado de Mexico

References

  1. Vespa P: Robotic telepresence in the intensive care unit. J Crit Care 2005, 9: 10.Google Scholar
  2. Vazquez de Anda GF, Larraza S: Telepresence using robots in acute care facilities. ICU Manage 2010, 10: 20-23.Google Scholar

Copyright

© Vazquez de Anda et al. 2011

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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