在脊柱手术期间的能源消耗和基质利用
Samuel Zonshayn1, Christina Coppola, James P Lawrence
1From the Department Orthopedic Surgery, Albany Medical Center, Albany, NY (Dr. Zonshayn, Ms. Coppola); Department of Orthopedics and Physical Medicine, Medical University of South Carolina, Charleston, South Carolina (Dr. Lawrence).
概括
在脊椎手术中,外科医生的生理压力和能量消耗随着导航,仪器仪表,酸 (TXA) 使用和修订程序的增加而增加,这可能导致疲劳.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 手术技术 手术技术
背景情况:
- 在成人脊柱手术期间测量外科医生的生理压力和能量消耗对于了解手术需求至关重要.
- 影响能量消耗的因素包括患者的BMI,使用,仪器仪表,手术内导航,初级/修订状态,tranexamic acid (TXA) 使用和手术区域.
研究的目的:
- 为了量化外科医生生理学压力和能量消耗在成人脊柱手术期间.
- 确定与增加的能量消耗和潜在的外科医生疲劳相关的外科变量.
主要方法:
- 高级作者在162个成年脊椎手术中佩戴心率计和加速度计.
- 收集的生理学数据包括平均和最大心率 (HR),以及Polar (P卡路里) 和Fitbit (F卡路里) 设备测量的卡路里消耗.
- 分析的外科变量包括患者的BMI,使用,仪器仪表,手术内导航,TXA使用和初级/修订状态.
主要成果:
- 导航使用显著影响所有测量变量 (P ≤0.05).
- 仪器使用,TXA使用和修复手术与能源支出和其他关键指标的显著差异有关 (P < 0.05).
- 患者的BMI和估计的血液损失也显示出显著的差异 (P<0.05).
结论:
- 脊椎手术技术,如导航,仪器仪表,TXA的管理,和执行修订程序,都与外科医生的能量支出增加有关.
- 这些因素可能会导致外科医生疲劳增加,突出强调需要采取策略来减轻手术压力.
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