Cognitive ergonomics and robotic surgery

Cognitive ergonomics refer to mental resources and is associated with memory, sensory motor response, and perception. Cognitive workload (CWL) involves use of working memory (mental strain and effort) to complete a task. The three types of cognitive loads have been divided into intrinsic (dependent...

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Bibliographic Details
Published in:Journal of robotic surgery 2024-03, Vol.18 (1), p.110-110, Article 110
Main Authors: Wong, Shing Wai, Crowe, Philip
Format: Article
Language:English
Subjects:
Benchmarking
Cognition & reasoning
Cognitive ability
Cognitive load
Cognitive tasks
Communication
Decision making
Electromyography
Ergonomics
Fatigue
Heart rate
Human performance
Humans
Laparoscopy
Learning
Medicine
Medicine & Public Health
Memory
Minimally Invasive Surgery
Physiology
Review
Robotic surgery
Robotic Surgical Procedures - methods
Robotics
Simulation
Situational awareness
Surgeons
Surgery
Task complexity
Training
Urology
Workflow
Workloads
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Summary:Cognitive ergonomics refer to mental resources and is associated with memory, sensory motor response, and perception. Cognitive workload (CWL) involves use of working memory (mental strain and effort) to complete a task. The three types of cognitive loads have been divided into intrinsic (dependent on complexity and expertise), extraneous (the presentation of tasks) and germane (the learning process) components. The effect of robotic surgery on CWL is complex because the postural, visualisation, and manipulation ergonomic benefits for the surgeon may be offset by the disadvantages associated with team separation and reduced situation awareness. Physical fatigue and workflow disruptions have a negative impact on CWL. Intraoperative CWL can be measured subjectively post hoc with the use of self-reported instruments or objectively with real-time physiological response metrics. Cognitive training can play a crucial role in the process of skill acquisition during the three stages of motor learning: from cognitive to integrative and then to autonomous. Mentorship, technical practice and watching videos are the most common traditional cognitive training methods in surgery. Cognitive training can also occur with computer-based cognitive simulation, mental rehearsal, and cognitive task analysis. Assessment of cognitive skills may offer a more effective way to differentiate robotic expertise level than automated performance (tool-based) metrics.
ISSN:1863-2491
1863-2483
1863-2491
DOI:10.1007/s11701-024-01852-7