A932 Sleep and Work Schedules of Anesthesia Residents

Howard, Steven K.; Healzer, James M.; Gaba,

doi:10.1097/00000542-199709001-00932

Cited by 4 publications

(4 citation statements)

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“…Anaesthesia training is physically, psychologically and intellectually taxing (28)(29)(30)(31). Trainees face uncertainty in their knowledge and clinical abilities while relying heavily on the expertise and responsible behavior of their teachers.…”

Section: Stage In Career and Gender-related Stressmentioning

confidence: 99%

“…However, throughout our medical careers we have met innumerable role-irrelevant stresses. The most prominent of these is excessive work hours and the resultant sleep deprivation and fatigue (22,(28)(29)(30)(31)(57)(58)(59). It is not uncommon for anaesthetists to work as much as 120 hours per week, which translates, on average, to less than seven hours per day for all other activities, including eating and sleeping.…”

Section: Role-irrelevant Stresses -Sleep Deprivation Fatigue and Stamentioning

confidence: 99%

“…These involve the reception of information and the cognitive interpretation and clinical decision-making pursuant to that input. Vigilance is a state of alertness, a physiologic and psychological readiness to detect and act (31,32,60). Clinical performance and vigilance are dynamic attributes, varying over time and between individuals.…”

Section: Role-irrelevant Stresses -Sleep Deprivation Fatigue and Stamentioning

confidence: 99%

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The role of stress in anaesthetists’ health and well‐being

Jackson

1999

Acta Anaesthesiol Scand

110

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Stress is an inevitable part of our personal and professional lives. When poorly managed, stress will accumulate to levels that become injurious to our health and well-being. Burnout is one such consequence. However, because stress is an active process, with the proper knowledge and skills, we can learn to better manage and control its level of intensity. This paper examines the stress cycle and especially those aspects that are unique to the practice of medicine and anaesthesia. Sleep deprivation and physical fatigue are analyzed as key stressors. The role of the medical marriage and dual-career relationships are scrutinized. The importance of retaining the humanistic essence of medicine is emphasized. Stress management strategies and coping responses, including self-care and humor, are discussed.

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Section: Stage In Career and Gender-related Stressmentioning

confidence: 99%

Section: Role-irrelevant Stresses -Sleep Deprivation Fatigue and Stamentioning

confidence: 99%

Section: Role-irrelevant Stresses -Sleep Deprivation Fatigue and Stamentioning

confidence: 99%

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The role of stress in anaesthetists’ health and well‐being

Jackson

1999

Acta Anaesthesiol Scand

110

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“…Almost 3000 anonymous responses have been received and 61% of the responders declared that errors in anesthetic administration could be attributed to chronic fatigue. Howard [26] found that 12% of the physician responders to a survey declared that they were of an opinion that fatigue significantly contributed to errors during work in the OR; 19.7% of the residents felt that sleepiness prevented them from performing clinical duties.…”

Section: Origin Of Stress In Anesthesia Practicementioning

confidence: 99%

Professional stress in anesthesiology: a review

Gurman

Klein

Weksler

2011

J Clin Monit Comput

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Anesthesiology is a stressful medical profession. While anesthesia in particular has become safer for the patient in the last decades, anesthesiology as a profession represents a medical field in which the professionals are permanently tense. The various reasons for this situation include the fact that anesthesiology is a team profession that requires perfect cooperation with other specialists. It also entails great responsibility for the patient's life, the daily use of "blind" invasive techniques, and last but not least the production pressure that characterizes the activity in the operating room. There are various methods to quantify professional stress and this article emphasizes the place of measurement of salivary cortisol in order to identify those stressful moments that are part of the anesthesiologist's routine activity, in addition to those individuals who are more prone to develop negative aspects of stress. It seems that there is a strong correlation between the high level of salivary cortisol and stressful events during patient management and also a correlation between this level and a high score of implicit job-stress. This reality created the need to look for remedies; some authors recommend a long list of measures to be taken in order to prevent or reduce the magnitude of professional stress. This list includes a continuous self-care attitude, consisting of having a balanced professional and personal life; adequate sleep; avoiding drugs, obesity, and "workaholic" behavior; as well as better use of leisure. Finally, more studies are needed to find out which preventive means may potentially reduce the risk of professional stress among anesthesiologists.

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Environmental Safety Including Chemical Dependency

Nicholau¹,

Arnold²

2010

Miller's Anesthesia

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A932 Sleep and Work Schedules of Anesthesia Residents

Cited by 4 publications

References 0 publications

The role of stress in anaesthetists’ health and well‐being

The role of stress in anaesthetists’ health and well‐being

Professional stress in anesthesiology: a review

Environmental Safety Including Chemical Dependency

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