Abstract
Introduction: Considering the complex set of manual and psychological tasks a surgeon has to perform during the day, it is very important to assess the surgeon’s fatigability, reaction time, attention, and memory. Objective: Here, we wanted to determine the mental fatigue status of surgeons and how their abilities are affected through a regular workday. Methods: We included 3 senior urologists and 6 urology residents. In a set period of time, we assessed their fatigue through self-assessed fatigue, Samn-Perelli score, and Karolinska sleepiness scale score. Further, reaction time, attention, and memory correlated with the number of the operations in the day, and total number of operations in that day were assessed. Results: As the number of tasks increases, and as the surgeons advance to the end of the workday, they become more fatigued, reaction time ultimately increases, and attention and memory become slightly altered. Conclusions: Complications resulting from the fatigue of surgeons could be serious. Their performance status and skills decrease as they perform more tasks or advance through the day.
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References
1.
Marcora
SM
, Staiano
W
, Manning
V
. Mental fatigue impairs physical performance in humans. J Appl Physiol (1985
). 2009 Mar;106(3):857-64.2.
Goode
JH
. Are pilots at risk of accidents due to fatigue
. J Safety Res
. 2003
;34
(3
):309
–13
.
[PubMed]
0022-43753.
Lal
SK
, Craig
A
. A critical review of the psychophysiology of driver fatigue
. Biol Psychol
. 2001
Feb
;55
(3
):173
–94
.
[PubMed]
0301-05114.
Lal
SK
, Craig
A
. Driver fatigue: electroencephalography and psychological assessment
. Psychophysiology
. 2002
May
;39
(3
):313
–21
.
[PubMed]
0048-57725.
Shen
J
, Barbera
J
, Shapiro
CM
. Distinguishing sleepiness and fatigue: focus on definition and measurement
. Sleep Med Rev
. 2006
Feb
;10
(1
):63
–76
.
[PubMed]
1087-07926.
Gillberg
M
, Kecklund
G
, Akerstedt
T
. Relations between performance and subjective ratings of sleepiness during a night awake
. Sleep
. 1994
Apr
;17
(3
):236
–41
.
[PubMed]
0161-81057.
Ronen
A
, Oron-Gilad
T
, Gershon
P
. The combination of short rest and energy drink consumption as fatigue countermeasures during a prolonged drive of professional truck drivers
. J Safety Res
. 2014
Jun
;49
:39
–43
.
[PubMed]
0022-43758.
Zhang
X
, Zhao
X
, Du
H
, Rong
J
. A study on the effects of fatigue driving and drunk driving on drivers’ physical characteristics
. Traffic Inj Prev
. 2014
;15
(8
):801
–8
.
[PubMed]
1538-95889.
Lim
SM
, Chia
SE
. The prevalence of fatigue and associated health and safety risk factors among taxi drivers in Singapore
. Singapore Med J
. 2015
Feb
;56
(2
):92
–7
.
[PubMed]
0037-567510.
Stoner
JD
. Aircrew fatigue monitoring during sustained flight operations from Souda Bay, Crete, Greece
. Aviat Space Environ Med
. 1996
Sep
;67
(9
):863
–6
.
[PubMed]
0095-656211.
Petrie
KJ
, Powell
D
, Broadbent
E
. Fatigue self-management strategies and reported fatigue in international pilots
. Ergonomics
. 2004
Apr
;47
(5
):461
–8
.
[PubMed]
0014-013912.
Jackson
CA
, Earl
L
. Prevalence of fatigue among commercial pilots
. Occup Med (Lond)
. 2006
Jun
;56
(4
):263
–8
.
[PubMed]
0962-748013.
Vejvoda
M
, Elmenhorst
EM
, Pennig
S
, Plath
G
, Maass
H
, Tritschler
K
, et al.. Significance of time awake for predicting pilots’ fatigue on short-haul flights: implications for flight duty time regulations
. J Sleep Res
. 2014
Oct
;23
(5
):564
–7
.
[PubMed]
0962-110514.
Metlaine
A
, Sauvet
F
, Gomez-Merino
D
, Elbaz
M
, Delafosse
JY
, Leger
D
, et al.. Association between insomnia symptoms, job strain and burnout syndrome: a cross-sectional survey of 1300 financial workers
. BMJ Open
. 2017
Jan
;7
(1
):e012816
.
[PubMed]
2044-605515.
Aerden
D
, Smets
D
, Poelaert
J
, Oste
J
, Van den Brande
P
. Fighting human error : what surgeons can learn from aviators
. Acta Chir Belg
. 2014
Jul-Aug
;114
(4
):228
–32
.
[PubMed]
0001-545816.
Sun
B
, Hu
M
, Yu
S
, Jiang
Y
, Lou
B
. Validation of the Compassion Fatigue Short Scale among Chinese medical workers and firefighters: a cross-sectional study
. BMJ Open
. 2016
Jun
;6
(6
):e011279
.
[PubMed]
2044-605517.
Mansukhani
MP
, Kolla
BP
, Surani
S
, Varon
J
, Ramar
K
. Sleep deprivation in resident physicians, work hour limitations, and related outcomes: a systematic review of the literature
. Postgrad Med
. 2012
Jul
;124
(4
):241
–9
.
[PubMed]
0032-548118.
Amirian
I
. The impact of sleep deprivation on surgeons’ performance during night shifts
. Dan Med J
. 2014
Sep
;61
(9
):B4912
.
[PubMed]
2245-191919.
Saadat
H
, Bissonnette
B
, Tumin
D
, Thung
A
, Rice
J
, Barry
N
, et al.. Time to talk about work-hour impact on anesthesiologists: the effects of sleep deprivation on Profile of Mood States and cognitive tasks
. Paediatr Anaesth
. 2016
Jan
;26
(1
):66
–71
.
[PubMed]
1155-564520.
Di Stasi
LL
, McCamy
MB
, Macknik
SL
, Mankin
JA
, Hooft
N
, Catena
A
, et al.. Saccadic eye movement metrics reflect surgical residents’ fatigue
. Ann Surg
. 2014
Apr
;259
(4
):824
–9
.
[PubMed]
0003-493221.
González-Sánchez
M
, González-Poveda
I
, Mera-Velasco
S
, Cuesta-Vargas
AI
. Comparison of fatigue accumulated during and after prolonged robotic and laparoscopic surgical methods: a cross-sectional study
. Surg Endosc
. 2017
Mar
;31
(3
):1119
–35
.
[PubMed]
0930-279422.
Olasky
J
, Chellali
A
, Sankaranarayanan
G
, Zhang
L
, Miller
A
, De
S
, et al.. Effects of sleep hours and fatigue on performance in laparoscopic surgery simulators
. Surg Endosc
. 2014
Sep
;28
(9
):2564
–8
.
[PubMed]
0930-279423.
Gerdes
J
, Kahol
K
, Smith
M
, Leyba
MJ
, Ferrara
JJ
. Jack Barney award: the effect of fatigue on cognitive and psychomotor skills of trauma residents and attending surgeons
. Am J Surg
. 2008
Dec
;196
(6
):813
–9
.
[PubMed]
0002-961024.
Bertges Yost
W
, Eshelman
A
, Raoufi
M
, Abouljoud
MS
. A national study of burnout among American transplant surgeons
. Transplant Proc
. 2005
Mar
;37
(2
):1399
–401
.
[PubMed]
0041-134525.
Sugden
C
, Housden
CR
, Aggarwal
R
, Sahakian
BJ
, Darzi
A
. Effect of pharmacological enhancement on the cognitive and clinical psychomotor performance of sleep-deprived doctors: a randomized controlled trial
. Ann Surg
. 2012
Feb
;255
(2
):222
–7
.
[PubMed]
0003-493226.
Franke
AG
, Bagusat
C
, McFarlane
C
, Tassone-Steiger
T
, Kneist
W
, Lieb
K
. The Use of Caffeinated Substances by Surgeons for Cognitive Enhancement
. Ann Surg
. 2015
Jun
;261
(6
):1091
–5
.
[PubMed]
0003-493227.
Campbell
DA
Jr. Physician wellness and patient safety
. Ann Surg
. 2010
Jun
;251
(6
):1001
–2
.
[PubMed]
0003-4932© 2020 S. Karger AG, Basel
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