A wearable approach for intraoperative physiological stress monitoring of multiple cooperative surgeons

Pimentel, G; Rodrigues, Susana; Silva, Pedro Alberto; Vilarinho, António; Vaz, Ruí; Cunha, João Paulo Silva

doi:10.1016/j.ijmedinf.2019.05.028

Cited by 19 publications

(26 citation statements)

References 26 publications

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“…From the results in this study, we speculate that a comprehensive 2-team approach would reduce stress on the surgeon. Objective data on surgeon stress need to be measured to clarify the influences of the approach on operator stress [ 25 26 ].…”

Section: Discussionmentioning

confidence: 99%

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Combined transabdominal and transperineal endoscopic pelvic exenteration for colorectal cancer: feasibility and safety of a two-team approach

et al. 2021

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Purpose Pelvic exenteration (PE) is a highly invasive procedure with high morbidity and mortality rates. Promising options to reduce this invasiveness have included laparoscopic and transperineal approaches. The aim of this study was to identify the safety of combined transabdominal and transperineal endoscopic PE for colorectal malignancies. Methods Fourteen patients who underwent combined transabdominal and transperineal PE (T group: 2-team approach, n = 7; O group: 1-team approach, n = 7) for colorectal malignancies between April 2016 and March 2020 in our institutions were included in this study. Clinicopathological features and perioperative outcomes were compared between groups. Results All patients successfully underwent R0 resection. Operation time tended to be shorter in the T group (463 minutes) than in the O group (636 minutes, P = 0.080). Time to specimen removal was significantly shorter (258 minutes vs. 423 minutes, P = 0.006), blood loss was lower (343 mL vs. 867 mL, P = 0.042), and volume of blood transfusion was less (0 mL vs. 560 mL, P = 0.063) in the T group, respectively. Postoperative complications were similar between groups. Conclusion Combined transabdominal and transperineal PE under a synchronous 2-team approach was feasible and safe, with the potential to reduce operation time, blood loss, and surgeon stress.

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Section: Discussionmentioning

confidence: 99%

“…To generalize the 2-team approach, surgeons must first accumulate experience with transperineal surgery. Novel approaches including robotic surgery could overcome staffing problems in the future [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Combined transabdominal and transperineal endoscopic pelvic exenteration for colorectal cancer: feasibility and safety of a two-team approach

et al. 2021

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“…Interestingly, stress, strain, anxiety, workload, and mental/cognitive demand have been mentioned and assessed interchangeably in the literature [17]. This vague definition is emphasized in discussions on unclear relationships between physiologic activation, stress, and self-reported anxiety [66] and multidimensionality and interaction of stress and mental fatigue [67].…”

Section: And Anecdotes Have Shown That Expertmentioning

confidence: 99%

Methods and Measures for Mental Stress Assessment in Surgery: A Systematic Review of 20 Years of Literature

Torkamani-Azar

Lee

Bednarik

2022

IEEE J. Biomed. Health Inform.

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Real-time mental stress monitoring from surgeons and surgical staff in operating rooms may reduce surgical injuries, improve performance and quality of medical care, and accelerate implementation of stressmanagement strategies. Motivated by the increase in usage of objective and subjective metrics for cognitive monitoring and by the gap in reviews of experimental design setups and data analytics, a systematic review of 71 studies on mental stress and workload measurement in surgical settings, published in 2001-2020, is presented. Almost 61% of selected papers used both objective and subjective measures, followed by 25% that only administered subjective tools -mostly consisting of validated instruments and customized surveys. An overall increase in the total number of publications on intraoperative stress assessment was observed from mid-2010 s along with a momentum in the use of both subjective and real-time objective measures. Cardiac activity, including heart-rate variability metrics, stress hormones, and eye-tracking metrics were the most frequently and electroencephalography (EEG) was the least frequently used objective measures. Around 40% of selected papers collected at least two objective measures, 41% used wearable devices, 23% performed synchronization and annotation, and 76% conducted baseline or multipoint data acquisition. Furthermore, 93% used a variety of statistical techniques, 14% applied regression models, and only one study released a public, anonymized dataset. This review of data modalities, experimental setups, and analysis techniques for intraoperative stress monitoring highlights the initiatives of surgical data science and motivates research on computational techniques for mental and surgical skills assessment and cognition-guided surgery.

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“…Pimentel et al [51] present a multiple-wearable cooperation system for monitoring the stress of multiple surgeons. They use commercial devices for vital signs monitoring, gathering ECG and actigraphy signals.…”

Section: Conceptualizationmentioning

confidence: 99%

Field Research Cooperative Wearable Systems: Challenges in Requirements, Design and Validation

Silva

Amorim

Ribeiro

et al. 2019

Sensors

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The widespread availability of wearable devices is evolving them into cooperative systems. Communication and distribution aspects such as the Internet of Things, Wireless Body Area Networks, and Local Wireless Networks provide the means to develop multi-device platforms. Nevertheless, the field research environment presents a specific feature set, which increases the difficulty in the adoption of this technology. In this text, we review the main aspects of Field Research Gears and Wearable Devices. This review is made aiming to understand how to create cooperative systems based on wearable devices directed to the Field Research Context. For a better understanding, we developed a case study in which we propose a cooperative system architecture and provide validation aspects. For this matter, we provide an overview of a previous device architecture and study an integration proposal.

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A wearable approach for intraoperative physiological stress monitoring of multiple cooperative surgeons

Cited by 19 publications

References 26 publications

Combined transabdominal and transperineal endoscopic pelvic exenteration for colorectal cancer: feasibility and safety of a two-team approach

Combined transabdominal and transperineal endoscopic pelvic exenteration for colorectal cancer: feasibility and safety of a two-team approach

Methods and Measures for Mental Stress Assessment in Surgery: A Systematic Review of 20 Years of Literature

Field Research Cooperative Wearable Systems: Challenges in Requirements, Design and Validation

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