SIM Courses

Robotic Surgery Team Training CRM

Background: Robotic assisted laparoscpic (RAL) surgery has contributed to reducing the morbidity associated with performing complex urological procedures. However, its complications can be catastrophic if they are not well managed. Since complication rates of minimally invasive surgery are low, most surgical teams do not have the opportunity to practice or develop the necessary skills to handle RAL emergency situations. Consequently, we designed a course to provide experience in managing major vascular injuries and CO2 embolism occurring during RAL surgery. Aside from providing the needed practical experience, the purpose of this course is also to train the surgical team in utilizing a standardized protocol in management of these potentially catastrophic emergencies.

Format: 5 Hour Team Training Course

Venue: In-Situ (OR Sim)

Frequency: 2-3 times per year

Participants: 2 anesthesiologists (one attending and one resident/fellow), 2 surgeons (one attending and one resident/fellow), 2-3 OR nurses or surgical technicians and 1 OR assistant

Expertise Level: Intermediate- Expert

Course Leaders: Ashley Wietsma, MD


  • To implement a standardized protocol algorithm for the team management of vascular injuries and CO2 embolism during robotic assisted laparoscopic surgery
  • To determine the potential benefits of standardized training protocols in reducing morbidity and response time
  • To refine the protocol in order to maximize efficiency and retention


General Materials
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