在手术室的噪音与手术困难相吻合
Sarah Peisl1, Daniel Sánchez-Taltavull1, Hugo Guillen-Ramirez1
1Department of Visceral Surgery and Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
BJS open
|October 16, 2024
概括
手术室噪音与手术困难有关,并预测并发症. 客观的手术困难,而不是团队分心,在本研究中独立预测噪音和术后并发症.
科学领域:
- 麻醉学和外科手术期间的医学.
- 手术结果研究研究.
- 医疗保健管理和政策
背景情况:
- 操作室 (OR) 噪音是已知的外科手术团队的分心因素,并与不良的术后结果有关.
- OR噪音,手术困难 (客观与主观) 和并发症之间的确切关系仍然不清楚.
研究的目的:
- 调查手术期间噪声水平,客观和主观手术困难以及术后并发症之间的关系.
- 为了确定噪音是否是并发症的直接原因,还是潜在的外科复杂性的标记.
主要方法:
- 在四个瑞士医院的294次手术中,前性地测量了噪音水平.
- 使用生理和手术严重性评分来计算死亡率和发病率 (POSSUM),手术持续时间和手术方法来量化客观的手术困难.
- 通过团队问卷评估主观困难和分心,并在手术后30天跟踪并发症.
主要成果:
- 在38%的手术中出现了术后并发症.
- 在客观和主观上更困难的操作和那些有并发症的操作中观察到明显更高的噪音水平.
- 多变量分析表明,主观困难与噪音和并发症有关,而客观的手术困难独立地预测了噪音和并发症.
结论:
- 术内噪声作为手术难度的替代标记.
- 客观的手术困难是手术室噪音和随后的术后并发症的关键预测因素.
相关概念视频
00:53Sound Intensity Level
4.1K
Humans perceive sound by hearing. The human ear helps sound waves reach the brain, which then interprets the waves and creates the perception of hearing. The loudness of the environment in which a person is located determines whether they can distinguish between different sound sources.
The human ear can perceive an extensive range of sound intensity, necessitating the use of the logarithmic scale to define a physical quantity—the intensity level. It is a ratio of two intensities and...
The human ear can perceive an extensive range of sound intensity, necessitating the use of the logarithmic scale to define a physical quantity—the intensity level. It is a ratio of two intensities and...
4.1K
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
976
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
976