‘Safety in sleep’: anaesthetists, patients and the European Working Time Directive

Cassidy, Christopher; Griffiths, E; Smith, Andrew F

doi:10.1111/j.1365-2044.2004.03929.x

Cited by 9 publications

(8 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Over the past 30 years, extensive research has been conducted, both in simulation and clinical care, investigating the effects of fatigue and sleep deprivation on anesthesiologists and anesthesia residents. 16,[22][23][24][25][26] Accordingly, Canadian anesthesia residency training program directors and committees have been proactive in instituting policies that are believed to reduce fatigue and improve the wellbeing of their residents. At least half of the Canadian training programs have attempted changes in on-call scheduling to limit the consecutive hours worked by residents to 12-or 16-h shifts, instead of the traditional 24-to 30-h shifts worked by other specialties (personal communication with Program Directors of the Association of Canadian University Departments of Anesthesia).…”

Section: Introductionmentioning

confidence: 99%

Perceived sleepiness in Canadian anesthesia residents: a national survey

Hanlon

Hayter

Bould

et al. 2008

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Perceived sleepiness in Canadian anesthesia residents: a national survey

Hanlon

Hayter

Bould

et al. 2008

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

“…There are less measured clinical facts than 'political' statements published [12][13][14][15][16]. Several countries have traditionally not excluded hospital doctors from national working time directives and have no actual problems in implementing the EWTD.…”

Section: Resultsmentioning

confidence: 97%

The European Working Time Directive: effect on education and clinical care

Waurick

Weber

Bröking

et al. 2007

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

show abstract

“…Auch nach einer Korrektur für alle Störgrößen zeigte sich bei Schichtarbeitern im Gesundheitssystem ein deutlich erhöhtes metabolisches Risiko [6,11]. In der Nurses-Health-Studie mit über 10 [71]. Magenulzera fanden sich häufiger bei denjenigen Nachtschichtarbeitern in Detroit, die tagsüber kürzer schliefen als andere (<5,5 vs. >6,4 h, [15]).…”

Section: Schichtarbeit Und Folgeerkrankungenunclassified

Schlafstörungen bei Ärzten im Schichtdienst

2014

View full text Add to dashboard Cite

Sleep disorders in physicians who perform shift work can result in increased risks of health problems that negatively impact performance and patient safety. Even those who cope well with shift work are likely to suffer from sleep disorders. The aim of this manuscript is to discuss possible causes, contributing factors and consequences of sleep disorders in physicians and to identify measures that can improve adaptation to shift work and treatment strategies for shift work-associated sleep disorders. The risk factors that influence the development of sleep disorders in physicians are numerous and include genetic factors (15 % of the population), age (> 50 years), undiagnosed sleep apnea,, alcohol abuse as well as multiple stress factors inherent in clinical duties (including shift work), research, teaching and family obligations. Several studies have reported an increased risk for medical errors in sleep-deprived physicians. Shift workers have an increased risk for psychiatric and cardiovascular diseases and shift work may also be a contributing factor to cancer. A relationship has been reported not only with sleep deprivation and changes in food intake but also with diabetes mellitus, obesity, hypertension and coronary heart disease. Nicotine and alcohol consumption are more frequent among shift workers. Increased sickness and accident rates among physicians when commuting (especially after night shifts) have a socioeconomic impact. In order to reduce fatigue and to improve performance, short naps during shiftwork or naps plus caffeine, have been proposed as coping strategies; however, napping during adverse circadian phases is less effective, if not impossible when unable to fall asleep. Bright and blue light supports alertness during a night shift. After shiftwork, direct sunlight exposure to the retina can be avoided by using dark sunglasses or glasses with orange lenses for commuting home. The home environment for daytime sleeping after a night shift should be very dark to allow endogenous melatonin secretion, which is a night signal and supports continuous sleep. Sleep disorders can be treated with timed light exposure, as well as behavioral and environmental strategies to compensate for sleep deprivation. Fatigue due to sleep deprivation can only be systematically treated with sleep.

show abstract

‘Safety in sleep’: anaesthetists, patients and the European Working Time Directive

Cited by 9 publications

References 17 publications

Perceived sleepiness in Canadian anesthesia residents: a national survey

Perceived sleepiness in Canadian anesthesia residents: a national survey

The European Working Time Directive: effect on education and clinical care

Schlafstörungen bei Ärzten im Schichtdienst

Contact Info

Product

Resources

About