Impact of Bluetooth headsets on verbal communication between robotic surgical teams
Objective:To explore the efficiency of team communication in robotic operating rooms using nat-ural sounds,robotic systems with their communication systems,and Bluetooth systems.Methods:We collected the room background noise during the surgery and set up a simulated scenario with the measured parameters while the operating room was free.A total of 32 volunteers were recruited and randomly paired to play the roles of lead surgeon and assistant respectively.Pre-prepared communica-tion instructions were used as the target messages for this experiment,and the message delivery experiments were performed sequentially under three different conditions(using natural sound,loud-speaker,and Bluetooth headset communication)to record the decibel level of the vocalist and the accu-racy of the message of the receiver.Results:In a noisy environment,the verbal exchange of informa-tion between surgical team members is significantly attenuated,and team member communication re-quires an increased level of vocal effort.However,the use of Bluetooth headsets allows for significant-ly more efficient communication of instructions than when using natural sound and Da Vinci system speakers.Conclusion:Intraoperative communication in robotic surgery is poor due to the standing po-sition,and background noise has an impact on team communication.However,the head-mounted Bluetooth device can substantially improve communication efficiency,and it is recommended for rou-tine use in robotic surgery.