Patient positioning for direct laryngoscopy – A national survey of 320 <scp>UK ENT</scp> consultant surgeons: Our experience

Mahalingam, Sridhayan; Amer, Imad; Ghufoor, Khalid; Choudhury, Natasha

doi:10.1111/coa.12442

Cited by 2 publications

(2 citation statements)

References 11 publications

(16 reference statements)

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“…In a survey study of otolaryngologists in the United Kingdom, Mahalingam et al show significant focus has been directed toward optimizing patient head position during direct laryngoscopy but failed to generate a practice consensus despite evidence that an optimal position does exist [8]. Furthermore, similar attention has not been directed toward optimizing the surgeon position.…”

Section: Discussionmentioning

confidence: 99%

Common Pediatric Otolaryngology Procedures: Ergonomic Considerations

Aaronson¹,

Reilly²

2023

Cureus

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BackgroundOtolaryngologists in high-volume children's hospitals developed their operating room workflow practices based on the factors of safety, efficiency, and surgeon preference. Recent data show important benefits and potential reduced risks of proper ergonomic positioning for surgeons to prevent injury. These data suggest that the current operating room workflow practices, in addition to prior training, should be monitored and hopefully improved for surgeons' health. Surprisingly, recent studies have suggested the benefits of standing versus sitting on cognitive function. ObjectiveThis study reports the workflow norms for seven operating procedures in pediatric otolaryngology. We seek to identify 1) surgeon preferences, 2) when practices become norms, and 3) whether procedure positions are associated with surgeon discomfort or injury. MethodsThe Otolaryngology Section of the American Academy of Pediatrics was queried employing a 23-question survey. We included demographic information, reasons for preferences, and surgeon-reported pain. We focused on three workflow issues: 1) length of procedures, 2) site selection (operating room bed vs. transport stretcher), and 3) position of the surgeon (sitting vs. standing). ResultsSixty-nine American Academy of Pediatrics members completed the survey. The length of the procedure had minimal effect, with 90% sitting for short procedures such as bilateral myringotomy with tubes, myringoplasty, tonsillectomy, and adenoidectomy. All sit for direct laryngoscopy and bronchoscopy. Most stand for the removal of nasal foreign bodies, drainage of neck abscess procedures, and thyroglossal duct cyst excision. Residency training (75%) and personal comfort (81%) were the more frequently cited reasons for preference. Fewer than one in five (16%) reported preexisting neck or back pain, but this doubled (35%) throughout their otolaryngology practice. Conditional distributions of pain showed reports of pain were greater for individuals in practice for over 20 years. ConclusionsPediatric otolaryngologists develop their operating room preferences early during residency training. High rates of neck and back pain (35%) may develop during a surgeon's career. We suggest improved understanding of ergonomics in concert with operating room workflow should be considered during otolaryngology residency training since recent data suggest potential benefits of standing on cognitive function.

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Section: Discussionmentioning

confidence: 99%

Common Pediatric Otolaryngology Procedures: Ergonomic Considerations

Aaronson¹,

Reilly²

2023

Cureus

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“…Patients using tracheoesophageal voice prostheses report about significantly better voice quality than with electrolarynx or esophageal speech [144], [145]. A systematic review about the outcome after pharyngolaryngectomy reports about the same result [146]. Also patient satisfaction and quality of life are best in patients who received voice prostheses [144].…”

Section: Therapy Of Primarily Diagnosed Laryngeal Cancermentioning

confidence: 99%

Evidence and evidence gaps of laryngeal cancer surgery

Wiegand

2016

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 15:Doc03

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Patient positioning for direct laryngoscopy – A national survey of 320 UK ENT consultant surgeons: Our experience

Cited by 2 publications

References 11 publications

Common Pediatric Otolaryngology Procedures: Ergonomic Considerations

Common Pediatric Otolaryngology Procedures: Ergonomic Considerations

Evidence and evidence gaps of laryngeal cancer surgery

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