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Intraoperative posture and workload assessment in vascular surgery
Applied Ergonomics ( IF 3.1 ) Pub Date : 2020-12-21 , DOI: 10.1016/j.apergo.2020.103344
Hamid Norasi 1 , Emmanuel Tetteh 1 , Samuel R Money 2 , Victor J Davila 2 , Andrew J Meltzer 2 , Melissa M Morrow 3 , Emma Fortune 3 , Bernardo C Mendes 4 , M Susan Hallbeck 5
Affiliation  

Quantifying the workload and postural demand on vascular surgeons provides valuable information on the physical and cognitive factors that predispose vascular surgeons to musculoskeletal pain and disorders. The aim of this study was to quantify the postural demand, workload, and discomfort experienced by vascular surgeons and to identify procedural factors that influence surgical workload. Both objective (wearable posture sensors) and subjective (surveys) assessment tools were used to evaluate intraoperative workload during 47 vascular surgery procedures. Results demonstrate unfavorable neck and low back postures as well as high pain scores for those body segments. Additionally, workload from subjective surveys increased significantly as a function of operative duration, and mental workload was high across all procedure types. Neck postural risk exposure and physical demand were among the variables that increased with surgical duration, procedure type, and loupes used by the surgeons. Correlations among postural angles and pain scores showed consistency between the objective assessment and the subjective surveys for neck and trunk. The authors believe that the results of this study highlight the need for developing mitigating measures such as ergonomic interventions for vascular surgery.



中文翻译:

血管手术中的术中姿势和工作负荷评估

量化血管外科医生的工作量和姿势需求,提供了有关使血管外科医生易患肌肉骨骼疼痛和疾病的身体和认知因素的宝贵信息。本研究的目的是量化血管外科医生的姿势需求、工作量和不适,并确定影响手术工作量的​​程序因素。客观(可穿戴姿势传感器)和主观(调查)评估工具都用于评估 47 次血管手术过程中的术中工作量。结果表明不利的颈部和腰部姿势以及这些身体部位的高疼痛评分。此外,主观调查的工作量随着手术持续时间的增加而显着增加,并且所有手术类型的心理工作量都很高。颈部姿势风险暴露和身体需求是随着手术持续时间、手术类型和外科医生使用的放大镜而增加的变量。姿势角度和疼痛评分之间的相关性表明客观评估和主观调查对颈部和躯干的一致性。作者认为,这项研究的结果强调了制定缓解措施的必要性,例如血管手术的人体工程学干预措施。

更新日期:2020-12-21
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