Intraoperative stress in spine surgery – Surgeon versus assistant
Background: This study was a prospective observational study to assess the cardiovascular response and effects of mental stress during spine surgery depending on the surgeon's (attending or lead surgeon) versus assistant's (resident) position. Methods: Stress-related cardiovascular paramet...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Indian Spine Journal |
| Subjects: | |
| Online Access: | http://www.isjonline.com/article.asp?issn=2589-5079;year=2018;volume=1;issue=2;spage=122;epage=127;aulast=Reinhold |
| _version_ | 1818827469590888448 |
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| author | Maximilian Reinhold Jonas Kremer Declan Stewart |
| author_facet | Maximilian Reinhold Jonas Kremer Declan Stewart |
| author_sort | Maximilian Reinhold |
| collection | DOAJ |
| description | Background: This study was a prospective observational study to assess the cardiovascular response and effects of mental stress during spine surgery depending on the surgeon's (attending or lead surgeon) versus assistant's (resident) position. Methods: Stress-related cardiovascular parameters were measured during 101 spine surgical procedures of a 40-year-old fellowship-trained spine surgeon with 12 years of practice. A training computer, personal scale, and thermometer were used to record the duration of surgery, heart rate, weight loss, and calorie burn. Results: The average maximum heart rate as an attending surgeon (124 bpm) was significantly higher when compared to the resident's heart rate (99 bpm) (P < 0.05). A higher stress level resulted in an increasingly higher average maximum heart rate according to the complexity of surgery: “easy” (103 bpm, 1 h: 51 min), “moderate” (125 bpm, 2 h: 57 min), and “difficult” (131bpm, 3 h: 56 min). The mean loss of body fluids at an average room temperature of 20.4°C after surgery was −0.82 kg (0 to −2.3 kg). The mean loss of body weight was calculated with −1.12% at the attending versus −0.59% at the resident (P < 0.05). Conclusions: The observed cardiovascular stress levels were similar to those of a moderate-to-intense workout such as cycling. Long-lasting surgeries result in a weight loss equivalent to a mild dehydration ranging from −2% to −5% of body fluids. Increasing dehydration will eventually worsen someone's cognitive-, visual-, and motor skills. Results of this study suggest that the early rehydration and other strategies (two surgeons and staged procedures) are helpful to minimize risks associated with prolonged, complex spine surgeries. |
| first_indexed | 2024-12-19T00:44:03Z |
| format | Article |
| id | doaj.art-640d9937722e4dadb0f4d6246593f2ea |
| institution | Directory Open Access Journal |
| issn | 2589-5079 2589-5087 |
| language | English |
| last_indexed | 2024-12-19T00:44:03Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Spine Journal |
| spelling | doaj.art-640d9937722e4dadb0f4d6246593f2ea2022-12-21T20:44:21ZengWolters Kluwer Medknow PublicationsIndian Spine Journal2589-50792589-50872018-01-011212212710.4103/isj.isj_1_18Intraoperative stress in spine surgery – Surgeon versus assistantMaximilian ReinholdJonas KremerDeclan StewartBackground: This study was a prospective observational study to assess the cardiovascular response and effects of mental stress during spine surgery depending on the surgeon's (attending or lead surgeon) versus assistant's (resident) position. Methods: Stress-related cardiovascular parameters were measured during 101 spine surgical procedures of a 40-year-old fellowship-trained spine surgeon with 12 years of practice. A training computer, personal scale, and thermometer were used to record the duration of surgery, heart rate, weight loss, and calorie burn. Results: The average maximum heart rate as an attending surgeon (124 bpm) was significantly higher when compared to the resident's heart rate (99 bpm) (P < 0.05). A higher stress level resulted in an increasingly higher average maximum heart rate according to the complexity of surgery: “easy” (103 bpm, 1 h: 51 min), “moderate” (125 bpm, 2 h: 57 min), and “difficult” (131bpm, 3 h: 56 min). The mean loss of body fluids at an average room temperature of 20.4°C after surgery was −0.82 kg (0 to −2.3 kg). The mean loss of body weight was calculated with −1.12% at the attending versus −0.59% at the resident (P < 0.05). Conclusions: The observed cardiovascular stress levels were similar to those of a moderate-to-intense workout such as cycling. Long-lasting surgeries result in a weight loss equivalent to a mild dehydration ranging from −2% to −5% of body fluids. Increasing dehydration will eventually worsen someone's cognitive-, visual-, and motor skills. Results of this study suggest that the early rehydration and other strategies (two surgeons and staged procedures) are helpful to minimize risks associated with prolonged, complex spine surgeries.http://www.isjonline.com/article.asp?issn=2589-5079;year=2018;volume=1;issue=2;spage=122;epage=127;aulast=Reinholddehydrationintraoperative complicationsphysical and mental stresspulse raterisk managementspine surgery |
| spellingShingle | Maximilian Reinhold Jonas Kremer Declan Stewart Intraoperative stress in spine surgery – Surgeon versus assistant Indian Spine Journal dehydration intraoperative complications physical and mental stress pulse rate risk management spine surgery |
| title | Intraoperative stress in spine surgery – Surgeon versus assistant |
| title_full | Intraoperative stress in spine surgery – Surgeon versus assistant |
| title_fullStr | Intraoperative stress in spine surgery – Surgeon versus assistant |
| title_full_unstemmed | Intraoperative stress in spine surgery – Surgeon versus assistant |
| title_short | Intraoperative stress in spine surgery – Surgeon versus assistant |
| title_sort | intraoperative stress in spine surgery surgeon versus assistant |
| topic | dehydration intraoperative complications physical and mental stress pulse rate risk management spine surgery |
| url | http://www.isjonline.com/article.asp?issn=2589-5079;year=2018;volume=1;issue=2;spage=122;epage=127;aulast=Reinhold |
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