Providence OR Surgery Program

Brief summary of article here Brief summary of article here Brief summary of article here Brief summary of article here Brief summary of article here Brief summary of article here Brief summary of article here Brief summary of article here Stealth Providence General Surgery Newsletter Clinical Insights from Providence General Surgery Specialists May 2021 | Issue 4 Connecting with Providence Oregon Providers and Clinicians on Hospital Care Alignment and Clinical Updates Safe Surgery Checklist Brief summary of article here or link to larger article Brief summary of article here Brief summary of article here Brief summary of article here Larger longer article if needed. Background During surgery, surgeons often work under stressful conditions, which could affect patient safety. Reducing intraoperative stress for surgeons could benefit surgeons and subsequently patients. It is difficult to study stress and stress relief in real life situations due to the multitude of confounding factors. The aim of this study was to evaluate simulated intraoperative stressors on surgeons' stress levels and the effect of an intervention (pause including a sugar-containing drink) during standardized experiments (simulated operations). Methods An experimental interventional study was conducted using a simulator. The healthy surgeon volunteers were randomized to intervention and control in a cross-over design. Primary endpoint was salivary cortisol difference between a pause including a sugar containing drink (intervention) and controls. Secondary endpoints were change in heart rate, change in self-perceived stress measured by the State Trait Anxiety Inventory (STAI), and experience of the intraoperative pause. Endpoints were calculated with a mixed effect analysis of covariance (ANCOVA) model. Results Seventeen surgeons performed 32 experiments. There was no statistically significant difference in salivary cortisol between simulations with and without a pause including a sugar-containing drink; percent reduction, 8% (0.92 (95%CI:0.72;1.18)), p-value = 0.469. The surgeons' self- estimation of intervention was positive, but there was no statistically significant difference in heart rate or STAI. Click to return to Main Menu

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