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Generaldiscussionandfutureperspectives22112Thirdarobotcould‘assist’thesurgeonbyholdingthe(perfectly)cutbonesegmentssteadyontheirnewpositionBecausetherobotimposestheexactorientationandlocationofthesegmentsthesurgeoncandirectlyplacethefixationmaterialAsimilarideawaspresentedbyLeeetalwhousedarobottoholdamaxillainplaceduringaLeFort1osteotomy52Becausethereconstructionpartissurgically themostchallengingstepduringOCVR theadded valueofrobotassistanceisprobablymostevidentinthisstepFigure14RoboticassisteddemarcationofvirtuallyplannedosteotomylinesonacraniosynostosispatientExperimentalsetupincollaborationwith TwenteUniversityWORKFLOWGUIDANCEIn addition to guidance during surgery AR could also assist during other(complex)clinicalworkflowssuchastheresuscitationofnewbornsInthisacutesituationmedicalprofessionals work togetherina teamand followaprotocolized workflowAttheRadboudumcneonatologydepartmentanadvancedAR-baseddecisionsupport algorithmhasbeen designedin collaboration with the 3DLab AHoloLensapplicationhelpstheteamleaderstructurealltheworkflowstepsDatafrommedicalequipmentincludingsaturationtemperatureandheartratearerealtimestreamedtotheHoloLens(Figure15)Certainstepsinthestandardworkflowsuchas‘checkiftemperatureisbetween35-37degrees’,couldbeskippediftheHoloLensalgorithmdetectsthatthetemperatureisintheacceptablerange53 Thevitalparametersofthenewbornandthestepbystepinstructionsarevisualizedintheworkfieldofthesupervisor,whocanreviewallparametersatoneglacewithoutlosingthepatientoutofsightorlosingcontactwiththeotherteammembers
