Exposure to noise in orthopaedic theatres - do we need protection?

Siverdeen, Z.; Ali, Abdulmajid Ahmed; Lakdawala, A.; McKay, Colette M.

doi:10.1111/j.1742-1241.2007.01689.x

Cited by 14 publications

(16 citation statements)

References 4 publications

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“…surgical instruments-seem less prone to extreme noise events. Consistent with this assumption, the plethora of noise studies in the surgical context focuses on orthopaedic surgery 2,3,11 . This assumption, however, may require revision.…”

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confidence: 95%

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Noise patterns in visceral surgical procedures: Analysis of second-by-second dBA data of 599 procedures over the course of one year

Baltin

Wilhelm

Wittland

et al. 2020

Sci Rep

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The objective of this study is to analyze noise patterns during 599 visceral surgical procedures. considering work-safety regulations, we will identify immanent noise patterns during major visceral surgeries. Increased levels of noise are known to have negative health impacts. Based on a very finegrained data collection over a year, this study will introduce a new procedure for visual representation of intra-surgery noise progression and pave new paths for future research on noise reduction in visceral surgery. Digital decibel sound-level meters were used to record the total noise in three operating theatres in one-second cycles over a year. these data were matched to archival data on surgery characteristics. Because surgeries inherently vary in length, we developed a new procedure to normalize surgery times to run cross-surgery comparisons. Based on this procedure, dBA values were adjusted to each normalized time point. noise-level patterns are presented for surgeries contingent on important surgery characteristics: 16 different surgery types, operation method, day/night time point and operation complexity (complexity levels 1-3). This serves to cover a wide spectrum of day-today surgeries. The noise patterns reveal significant sound level differences of about 1 dBA, with the mostcommon noise level being spread between 55 and 60 dBA. This indicates a sound situation in many of the surgeries studied likely to cause stress in patients and staff. Absolute and relative risks of meeting or exceeding 60 dBA differ considerably across operation types. In conclusion, the study reveals that maximum noise levels of 55 dBA are frequently exceeded during visceral surgical procedures. Especially complex surgeries show, on average, a higher noise exposure. Our findings warrant active noise management for visceral surgery to reduce potential negative impacts of noise on surgical performance and outcome. Surgeons, nurses and patients-during some procedures-are exposed to high noise levels. Noise is defined by work-safety regulations as a sound that may have a negative impact on health (e.g. impairment of hearing ability). Previous research demonstrates that the use of surgical instruments may result in significant noise exposure up to a level of 131 dBA for both staff and patient 1-3. Existing research also shows that exposure to noise can increase an operating surgeon's blood-based cortisol level, result in irreversible hearing loss or cause cardiovascular diseases 4-7. The negative impact of noise is not limited to direct effects on staff and patient health but also affects the patient indirectly by lowering the quality of the surgeon's work. Specifically, research demonstrates that intraoperative noise, among other factors, impairs the mental concentration of the operating team, eventually resulting in postoperative complications (e.g. infections) 8-11. While research on noise in the operating theatre is a mature research area, existing literature continues to lack comprehensive empirical evidence of noise pollution during v...

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confidence: 95%

“…Specifically, the majority of evidence-irrespective of the surgery type covered-is limited to non-processual descriptive indicators (e.g. Mean Noise Level, Standard Deviation of Noise, Maximum Noise, Minimum Noise) 2,3,15 . Processual indicators, that is, descriptive data capturing the development of noise patterns during procedures, are generally rare.…”

mentioning

confidence: 99%

Noise patterns in visceral surgical procedures: Analysis of second-by-second dBA data of 599 procedures over the course of one year

Baltin

Wilhelm

Wittland

et al. 2020

Sci Rep

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“…Within healthcare settings, high environmental noise in hospitals may be responsible for abnormal hearing among healthcare workers, 3,4 while the orthopaedic staff experienced the highest prevalence of hearing-associated problems, due to highpowered tools in orthopaedic theatres. [5][6][7][8][9][10] In the 1960s, environmental noise produced in dental healthcare settings was considered responsible for HI in the dental staff. [11][12][13] However in almost all previous studies dentists did not experience higher HI risk than the general population.…”

Section: Introductionmentioning

confidence: 99%

General dental practitioners and hearing impairment

Messano

Petti

2012

Journal of Dentistry

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“…Pereira et al 3 measured noise levels during 50 trauma procedures and found that they ranged from 40 dB to 130 dB, with an average level of 85 dB. Siverdeen et al 8 found that in orthopedic procedures, several instruments create noise: saws = 95 dBA drills = 90 dBA, K‐wire drivers = 85 dBA, and hammers = 65 dBA 8 The NIOSH measured the noise levels in 18 ORs at a large, multispecialty facility and found that noise levels were the highest in the orthopedic and neurosurgery rooms, and noise levels were higher the closer a person was to the source of the sound (eg, noise levels were higher for team members working at the sterile field than for the RN circulator).…”

Section: Noise In the Ormentioning

confidence: 99%

Clinical Issues‐November 2013

Burlingame

2013

AORN Journal

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The CE contact hours for this article expire November 30, 2016. Prices are subject to change. Purpose/GoalTo provide the learner with knowledge of AORN's recommended practices related to creating a mini sterile processing department in an OR; the sterilization, cleaning, and care of equipment; determining airflow needs in an endoscopy cleaning room; and reducing noise in the perioperative practice setting.Objectives 1. Discuss practices that could jeopardize safety in the perioperative area. 2. Discuss common areas of concern that relate to perioperative best practices. 3. Describe implementation of evidence-based practice in relation to perioperative nursing care.

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Exposure to noise in orthopaedic theatres - do we need protection?

Cited by 14 publications

References 4 publications

Noise patterns in visceral surgical procedures: Analysis of second-by-second dBA data of 599 procedures over the course of one year

Noise patterns in visceral surgical procedures: Analysis of second-by-second dBA data of 599 procedures over the course of one year

General dental practitioners and hearing impairment

Clinical Issues‐November 2013

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