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Intraoperative stress experienced by surgeons and assistants
A Yamamoto1, T Hara, K Kikuchi
1Department of Ophthalmology, Kyorin University, School of Medicine, Tokyo, Japan.
Background And Objective:
To determine the intraoperative stress on surgeons and assistants during cataract surgery, 12 surgeons and 3 assisting nurses were assessed based on their level of professional experience.
Methods:
Surgeons were classified as inexperienced, intermediate, or experienced. Nurse assistants were classified as inexperienced or experienced. The intraoperative heart rates and urine adrenaline levels of each participant were measured.
Results:
Inexperienced surgeons and nurse assistants had the highest heart rates at the beginning of surgery, and the rates tended to decrease toward the end of surgery. All values were higher than the other two groups throughout surgery. In surgeons with intermediate experience, the heart rates were not as high as in the inexperienced personnel; however, the heart rates were high throughout the surgery. The heart rate in one intermediate surgeon was markedly increased when a surgery was simultaneously broadcast on closed-circuit television. In experienced surgeons and a nurse assistant, the measurements increased slightly.
Conclusions:
The variations in heart rates and urine adrenaline levels showed characteristic patterns based on the experience of the surgical personnel.