Effects of intraoperative breaks on mental and somatic operator fatigue: a randomized clinical trial

Engelmann, C; Schneider, M.; Kirschbaum, Clemens; Grote, Gudela; Dingemann, Jens; Schoof, Stephan; Ure, Benno M.

doi:10.1007/s00464-010-1350-1

Cited by 119 publications

(99 citation statements)

References 11 publications

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“…A study found that scheduled intraoperative breaks reduced surgeons' cortisol levels by 22%, without prolonging the operation. 26 A systematic review looking at residents' health found 2 studies on protected sleep time to reduce residents' fatigue. 27 Further studies on scheduled breaks and protected sleep time with a focus on how surgeons' stress can be reduced are needed.…”

Section: Resultsmentioning

confidence: 99%

Decreased heart rate variability in surgeons during night shifts

et al. 2014

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Background: Heart rate variability (HRV) has been used as a measure of stress and mental strain in surgeons. Low HRV has been associated with death and increased risk of cardiac events in the general population. The aim of this study was to clarify the effect of a 17-hour night shift on surgeons' HRV.Methods: Surgeons were monitored prospectively with an ambulatory electrocardiog raphy device for 48 consecutive hours, beginning on a precall day and continuing through an on-call (17-h shift) day. We measured HRV by frequency domain parameters. Results

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Section: Resultsmentioning

confidence: 99%

Decreased heart rate variability in surgeons during night shifts

et al. 2014

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“…Haynes et al retrospectively reviewed 6371 general surgical procedures and found the highest rate of complications in those who had been performed by individuals on call in the last 24 h [22]. Engleman et al evaluated the impact of intraoperative 5 min breaks every half an hour (similar to in air traffic controllers) during complex laparoscopic surgery and demonstrated that this did not prolong operations, reduced cortisol levels and led to fewer intraoperative adverse events [23].…”

Section: What Is Happening In the Context Of Cardiothoracic Surgery?mentioning

confidence: 99%

Sleep deprivation leads to burnout and cardiothoracic surgeons have to deal with its consequences

Jarral

Baig

Shetty

et al. 2015

International Journal of Cardiology

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“…This study does not assess skills per se, yet experience would influence the psychophysical score. Engelmann et al showed that breaks during complex laparoscopic surgery reduced psychological stress maintaining efficiency without prolonging operating time [5]. In athletics, Borg CR10 is used to score and plan the methodology of training [15].…”

Section: Discussionmentioning

confidence: 99%

A study to compare the pain, discomfort and tiredness between straight stick and single-incision laparoscopic surgery: an in vitro study

Mukhopadhyay

Ind

2015

Gynecol Surg

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This study compares pain and tiredness experienced by a student and gynaecological surgeons of varying experience between straight sticks (SS) and single-incision laparoscopic surgery (SILS) in vitro. Data was collected prospectively with randomization of the mode sequence. Participants from two hospitals performed identical exercise of cutting circles using SS and SILS in vitro. Questionnaires (Borg CR10 scale scores) were completed at 0, 30 and 60 min, respectively. Wilcoxon's signed ranked tests were performed on matched pairs of SS and SILS on the number of circles cut and the mistakes between 0-30 and 30-60 min, respectively. There were significant differences between the two groups at 30 min in arm discomfort, hand and finger discomfort, shoulder girdle tiredness, arm tiredness and most significantly in wrist discomfort with a matched median difference of 1.83, confidence interval (CI) 1.00 to 2.67 and P=0.003. At 60 min, the significant differences between the two groups were in shoulder girdle pain, arm discomfort, hand and finger discomfort, neck tiredness, wrist tiredness, and hand and finger tiredness and the most significant was wrist discomfort with a matched median difference of 1.75, CI 0.50 to 3.25 and P= 0.011. SS causes less tiredness and discomfort in an in vitro setting than with SILS.

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Effects of intraoperative breaks on mental and somatic operator fatigue: a randomized clinical trial

Abstract: Our data support the idea that work breaks during complex laparoscopic surgery can reduce psychological stress and preserve performance without prolongation of the operation time compared with the traditional work scheme.

Cited by 119 publications

References 11 publications

Decreased heart rate variability in surgeons during night shifts

Decreased heart rate variability in surgeons during night shifts

Sleep deprivation leads to burnout and cardiothoracic surgeons have to deal with its consequences

A study to compare the pain, discomfort and tiredness between straight stick and single-incision laparoscopic surgery: an in vitro study

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