Effect of noise on the performance of arthroscopic simulator

IF 1.4 Q3 SURGERY Surgery open science Pub Date : 2024-07-05 DOI:10.1016/j.sopen.2024.06.006
Alexandre Czerwiec , Margot Vannier , Olivier Courage
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Abstract

Background

Noise is omnipresent in the operating room. The average noise in the operating room generally ranges between 60 and 65 dB and can sometimes exceed 100 dB, despite the ARS (Agence Régionale de Santé) and WHO (World Health Organization) recommending levels of 35 dB(A). This study aimed to evaluate the effect of different kinds of background auditory stimuli on the performance of surgeons during an arthroscopic simulation task.

Methods

Forty-seven surgeons with varying experience in arthroscopic surgery undertook different exercises under four different conditions: quiet, classical music, hard rock, and sustained chatter. All background auditory stimuli were set at 65 dB(A). Each participant underwent double randomization for the four sound stimuli and the four exercises to be performed. A musical questionnaire was also completed by each participant. Data related to each exercise included operating time in seconds, distance from the camera or instruments in centimeters, and an overall score automatically calculated by the simulator based on safety, economy of movement, and speed (scale: 0–20 points).

Results

Operative time in an environment with classical music was significantly lower than in an environment with hard rock (95.9 s vs. 128.7 s, p = 0.0003). The overall rating in an environment with chatter was significantly lower than in a silent environment (11.7 vs. 15.7, p < 0.0001). The overall rating in an environment with hard rock was significantly lower than in an environment with classical music (14.3 vs. 17.5, p = 0.0008).

Surgeons who preferred listening to music in the operating room performed differently than those who did not. The mean operative time for surgeons who preferred music was 99.52 s (SD = 47.20), compared to 117.16 s (SD = 61.06) for those who did not prefer music, though this difference was not statistically significant (p = 0.082). The mean overall score for surgeons who preferred music was significantly higher at 17.46 (SD = 2.29) compared to 15.57 (SD = 3.49) for those who did not prefer music (p = 0.001).

Conclusions

Our study suggests that exposure to classical music and silence may confer greater benefits to the surgeon compared to the impact of hard rock and chatter. These conclusions are grounded in significant differences observed in operative time and overall evaluations, highlighting the potential advantages of an environment characterized by acoustic tranquility for surgical professionals. Preferences for music in the operating room also play a role, with those who prefer music demonstrating better performance scores.

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噪音对关节镜模拟器性能的影响
背景噪声在手术室中无处不在。手术室的平均噪音一般在 60 到 65 分贝之间,有时甚至会超过 100 分贝,尽管 ARS(法国区域卫生机构)和 WHO(世界卫生组织)建议噪音水平为 35 分贝(A)。本研究旨在评估不同种类的背景听觉刺激对外科医生在关节镜模拟任务中的表现的影响。方法47名具有不同关节镜手术经验的外科医生在四种不同的条件下进行了不同的练习:安静、古典音乐、硬摇滚乐和持续的喋喋不休。所有背景听觉刺激均设置为 65 dB(A)。每位受试者在四种声音刺激和四种练习之间进行双重随机分配。每位参与者还填写了一份音乐问卷。每项练习的相关数据包括以秒为单位的操作时间、以厘米为单位的与摄像头或仪器的距离,以及模拟器根据安全性、动作经济性和速度自动计算出的总分(评分标准:0-20 分)。结果在古典音乐环境中的操作时间明显低于硬摇滚环境(95.9 秒 vs. 128.7 秒,p = 0.0003)。嘈杂环境中的总体评分明显低于安静环境(11.7 对 15.7,p = 0.0001)。喜欢在手术室听音乐的外科医生与不喜欢听音乐的外科医生的表现不同。喜欢听音乐的外科医生的平均手术时间为 99.52 秒(SD = 47.20),而不喜欢听音乐的外科医生的平均手术时间为 117.16 秒(SD = 61.06),但这一差异在统计学上并不显著(p = 0.082)。我们的研究表明,与硬摇滚乐和喋喋不休的影响相比,接触古典音乐和安静可能会给外科医生带来更大的益处。这些结论的依据是在手术时间和总体评价方面观察到的显著差异,凸显了以声音宁静为特点的环境对外科专业人员的潜在优势。对手术室音乐的偏好也有影响,喜欢音乐的人表现得分更高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.30
自引率
0.00%
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0
审稿时长
66 days
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