Effects of fatigue on surgeon performance and surgical outcomes: a systematic review

Abstract

There is little evidence, as yet, to inform the issue of the effect of fatigue on surgical performance.

Relaparotomies after cesarean sections: risk factors, indications, and management

“…In accordance with this finding, previous findings by Koslowsky et al have shown that the effect of sleep deprivation on cognitive performance in laparoscopies only becomes apparent after 36-40 h of sleep deprivation [3]. Strum et al, in their review, showed that in most trials measuring clinical surgical performance there was no effect of fatigue, and that sleep deprivation has a greater effect on the surgical performance of younger rather than senior residents [12].…”

Is Nighttime Laparoscopic General Surgery Under General Anesthesia Safe?

“…Fatigue and sleep deprivation may increase the risk of malpractices. [1][2][3] There are several reports from different surgical fields reporting worse outcomes for surgeries performed during after-hours or nighttime. [4][5][6][7] There are also reports from different coun- outcomes has hardly been evaluated because in modern anesthesia practice, adverse outcomes are relatively low.…”

Effect of Postcall Fatigue on Surgical Skills Measured by a Robotic Simulator

“…It was previously reported by Sturm et al that less experienced surgeons are more affected by fatigue than more experienced surgeons, both in terms of actual surgical performance and simulated performance. 13 While we do show in our cohort of relatively inexperienced surgeons that fatigue decreases performance, our findings indicate that the consequences of fatigue were more severe in the experienced residents. In this sense, fatigue acts as an equalizer.…”

“…10 However, numerous studies have also been published that indicate surgeon performance is not affected by fatigue. [11][12][13][14][15] Therefore, further investigation is required.…”