关键词: 关节成形术, 置换, 髋, 人工智能, 手术室护理

Abstract:

We summarized key points of nursing cooperation for robot-assisted total hip arthroplasty in 14 cases,which were ① Participate in preoperative discussion,be familiar with surgery plan,and prepare surgical instruments and prosthesis according to preoperative modeling results;② Place the surgical facilities properly to assist information feedbacks of bone markers and camera of the robot,to reduce position adjustment of the equipment during surgery;③ Instrument nurse should clean their hands in advance to check performance of the mechanical arm,install the reference frame and power equipment,and register and validate the robot arm;④ Surgical counting was performed strictly,including electrocardiogram electrode stuck in the center of patella,bone needle placed in the anterior superior iliac spine,marking nails fixed in the femoral great trochanter and outer upper margin of acetabulum; ⑤ Strengthen sterile management of the mechanical arm to ensure the effective intraoperative range of operation; ⑥ Place surgical position properly according to the surgical approach,to maintain the function position of patients and fully exposure surgical field;⑦ Maintain the equipment regularly and keep the base of the machine arm in the state of electricity storage. All 14 patients successfully received surgery. No complications such as dislocation,infection,vascular and nerve injury occurred in postoperative follow-up.

Key words: Arthroplasty, Replacement, Hip, Artificial Intelligence, Operating Room Nursing