HapticV1, Ncbi, Merge, bibRecord, 001A07

Impact of fatigue on neurophysiologic measures of surgical residents.

Identifieur interne : 001A07 ( Ncbi/Merge ); précédent : 001A06; suivant : 001A08

Impact of fatigue on neurophysiologic measures of surgical residents.

Auteurs : Kanav Kahol [États-Unis] ; Marshall Smith ; Jared Brandenberger ; Aaron Ashby ; John J. Ferrara

Source :

Journal of the American College of Surgeons [ 1879-1190 ] ; 2011.

RBID : pubmed:21515080

English descriptors

KwdEn :
- Attention (physiology), Clinical Competence, Cognition (physiology), Electroencephalography, Fatigue (complications), Fatigue (physiopathology), Fatigue (psychology), Female, General Surgery (education), Humans, Internship and Residency (organization & administration), Laparoscopy, Male, Memory (physiology), Motor Activity, Motor Skills (physiology), Task Performance and Analysis, Workload.
MESH :
- complications : Fatigue.
- education : General Surgery.
- organization & administration : Internship and Residency.
- physiology : Attention, Cognition, Memory, Motor Skills.
- physiopathology : Fatigue.
- psychology : Fatigue.
- Clinical Competence, Electroencephalography, Female, Humans, Laparoscopy, Male, Motor Activity, Task Performance and Analysis, Workload.

Abstract

To gain additional insight into the impact of fatigue on surgery resident proficiency, we set out to quantify its impact on behavioral and neurophysiologic measures.

DOI: 10.1016/j.jamcollsurg.2011.03.028
PubMed: 21515080

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Le document en format XML

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<author><name sortKey="Kahol, Kanav" sort="Kahol, Kanav" uniqKey="Kahol K" first="Kanav" last="Kahol">Kanav Kahol</name>
<affiliation wicri:level="2"><nlm:affiliation>Human Machine Symbiosis Laboratory, School of Biological and Health Systems Engineering, Arizona State University, Phoenix, AZ, USA. Kanav@asu.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Human Machine Symbiosis Laboratory, School of Biological and Health Systems Engineering, Arizona State University, Phoenix, AZ</wicri:regionArea>
<placeName><region type="state">Arizona</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Smith, Marshall" sort="Smith, Marshall" uniqKey="Smith M" first="Marshall" last="Smith">Marshall Smith</name>
</author>
<author><name sortKey="Brandenberger, Jared" sort="Brandenberger, Jared" uniqKey="Brandenberger J" first="Jared" last="Brandenberger">Jared Brandenberger</name>
</author>
<author><name sortKey="Ashby, Aaron" sort="Ashby, Aaron" uniqKey="Ashby A" first="Aaron" last="Ashby">Aaron Ashby</name>
</author>
<author><name sortKey="Ferrara, John J" sort="Ferrara, John J" uniqKey="Ferrara J" first="John J" last="Ferrara">John J. Ferrara</name>
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<author><name sortKey="Kahol, Kanav" sort="Kahol, Kanav" uniqKey="Kahol K" first="Kanav" last="Kahol">Kanav Kahol</name>
<affiliation wicri:level="2"><nlm:affiliation>Human Machine Symbiosis Laboratory, School of Biological and Health Systems Engineering, Arizona State University, Phoenix, AZ, USA. Kanav@asu.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Human Machine Symbiosis Laboratory, School of Biological and Health Systems Engineering, Arizona State University, Phoenix, AZ</wicri:regionArea>
<placeName><region type="state">Arizona</region>
</placeName>
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<author><name sortKey="Smith, Marshall" sort="Smith, Marshall" uniqKey="Smith M" first="Marshall" last="Smith">Marshall Smith</name>
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<author><name sortKey="Brandenberger, Jared" sort="Brandenberger, Jared" uniqKey="Brandenberger J" first="Jared" last="Brandenberger">Jared Brandenberger</name>
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<author><name sortKey="Ashby, Aaron" sort="Ashby, Aaron" uniqKey="Ashby A" first="Aaron" last="Ashby">Aaron Ashby</name>
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<author><name sortKey="Ferrara, John J" sort="Ferrara, John J" uniqKey="Ferrara J" first="John J" last="Ferrara">John J. Ferrara</name>
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<series><title level="j">Journal of the American College of Surgeons</title>
<idno type="eISSN">1879-1190</idno>
<imprint><date when="2011" type="published">2011</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attention (physiology)</term>
<term>Clinical Competence</term>
<term>Cognition (physiology)</term>
<term>Electroencephalography</term>
<term>Fatigue (complications)</term>
<term>Fatigue (physiopathology)</term>
<term>Fatigue (psychology)</term>
<term>Female</term>
<term>General Surgery (education)</term>
<term>Humans</term>
<term>Internship and Residency (organization & administration)</term>
<term>Laparoscopy</term>
<term>Male</term>
<term>Memory (physiology)</term>
<term>Motor Activity</term>
<term>Motor Skills (physiology)</term>
<term>Task Performance and Analysis</term>
<term>Workload</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Fatigue</term>
</keywords>
<keywords scheme="MESH" qualifier="education" xml:lang="en"><term>General Surgery</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Internship and Residency</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Attention</term>
<term>Cognition</term>
<term>Memory</term>
<term>Motor Skills</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Fatigue</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Fatigue</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Clinical Competence</term>
<term>Electroencephalography</term>
<term>Female</term>
<term>Humans</term>
<term>Laparoscopy</term>
<term>Male</term>
<term>Motor Activity</term>
<term>Task Performance and Analysis</term>
<term>Workload</term>
</keywords>
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<front><div type="abstract" xml:lang="en">To gain additional insight into the impact of fatigue on surgery resident proficiency, we set out to quantify its impact on behavioral and neurophysiologic measures.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21515080</PMID>
<DateCreated><Year>2011</Year>
<Month>06</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted><Year>2011</Year>
<Month>10</Month>
<Day>24</Day>
</DateCompleted>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-1190</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>213</Volume>
<Issue>1</Issue>
<PubDate><Year>2011</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Journal of the American College of Surgeons</Title>
<ISOAbbreviation>J. Am. Coll. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Impact of fatigue on neurophysiologic measures of surgical residents.</ArticleTitle>
<Pagination><MedlinePgn>29-34; discussion 34-6</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jamcollsurg.2011.03.028</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">To gain additional insight into the impact of fatigue on surgery resident proficiency, we set out to quantify its impact on behavioral and neurophysiologic measures.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Simulations were first created using a visio-haptic joystick attached to a surgical instrument (tool) that allows realistic interactions. Before baseline (pre-call) and after call, 7 PGY1 surgery residents performed simulation tasks that required varying levels of psychomotor and cognitive skill. Residents completed 3 sessions per week for 4 weeks. Surgical proficiency was established using 5 metrics: hand movement smoothness; instrument movement smoothness; time to task completion; gesture level proficiency and cognitive errors. Data (percent change from baseline, pre-call) were analyzed using repeated measures ANOVA. While performing these tasks, the residents also wore an EEG cap (B-Alert; Advanced Brain Monitoring), the data from which provided second to second insight into the effects of workload, distraction, and attention on task performance. Mean (±SD) pre-call and post-call values for each were analyzed using repeated measures ANOVA.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Residents experienced significant (p < 0.014) post-call erosions in surgical proficiency, punctuated by dramatic increases in cognitive errors. EEG-based attention scores showed a significant (p < 0.014) concomitant decrement of 40%; distraction/drowsiness scores increased by 91%; and workload score increased by 51%.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Fatigue adversely affects PGY1 resident surgical proficiency and neurophysiologic performance.</AbstractText>
<CopyrightInformation>Copyright © 2011 American College of Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kahol</LastName>
<ForeName>Kanav</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Human Machine Symbiosis Laboratory, School of Biological and Health Systems Engineering, Arizona State University, Phoenix, AZ, USA. Kanav@asu.edu</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Smith</LastName>
<ForeName>Marshall</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Brandenberger</LastName>
<ForeName>Jared</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Ashby</LastName>
<ForeName>Aaron</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Ferrara</LastName>
<ForeName>John J</ForeName>
<Initials>JJ</Initials>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2011</Year>
<Month>04</Month>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Am Coll Surg</MedlineTA>
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<ISSNLinking>1072-7515</ISSNLinking>
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<CitationSubset>AIM</CitationSubset>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001288">Attention</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D002983">Clinical Competence</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D003071">Cognition</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000502">physiology</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D004569">Electroencephalography</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005221">Fatigue</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000503">physiopathology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000523">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013502">General Surgery</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000193">education</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D007396">Internship and Residency</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000458">organization & administration</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D010535">Laparoscopy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008568">Memory</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D009043">Motor Activity</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D009048">Motor Skills</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000502">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013647">Task Performance and Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D016526">Workload</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<tree><noCountry><name sortKey="Ashby, Aaron" sort="Ashby, Aaron" uniqKey="Ashby A" first="Aaron" last="Ashby">Aaron Ashby</name>
<name sortKey="Brandenberger, Jared" sort="Brandenberger, Jared" uniqKey="Brandenberger J" first="Jared" last="Brandenberger">Jared Brandenberger</name>
<name sortKey="Ferrara, John J" sort="Ferrara, John J" uniqKey="Ferrara J" first="John J" last="Ferrara">John J. Ferrara</name>
<name sortKey="Smith, Marshall" sort="Smith, Marshall" uniqKey="Smith M" first="Marshall" last="Smith">Marshall Smith</name>
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<country name="États-Unis"><region name="Arizona"><name sortKey="Kahol, Kanav" sort="Kahol, Kanav" uniqKey="Kahol K" first="Kanav" last="Kahol">Kanav Kahol</name>
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Impact of fatigue on neurophysiologic measures of surgical residents.

Impact of fatigue on neurophysiologic measures of surgical residents.

Source :

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki