Influence of a 30-min break on divided attention and working memory in resident anaesthetists on daily routine

Coburn, Mark; Henzler, Dietrich; Baumert, J.‐H.; Fimm, Bruno; Drüke, Barbara; Rossaint, Rolf

doi:10.1093/bja/ael151

Cited by 13 publications

(9 citation statements)

References 12 publications

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“…The retest reliability of the TAP was shown before [25], although our test intervals were much shorter in this study. The intervals were identical with those suggested by previous studies [13,15].…”

Section: Discussionsupporting

confidence: 57%

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Early cognitive function, recovery and well-being after sevoflurane and xenon anaesthesia in the elderly: a double-blinded randomized controlled trial

Cremer

Stoppe

Fahlenkamp

et al. 2011

Medical Gas Research

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BackgroundThe postoperative cognitive function is impaired in elderly patients after general anaesthesia. The fast recovery after xenon anaesthesia was hypothesized to be advantageous in this scenario. We compared early postoperative cognitive function after xenon and sevoflurane anaesthesia in this study.MethodsThe study was approved by the local ethics committee and written informed consent was obtained from each patient. Patients aged 65-75 years (ASA I-III) scheduled for elective surgery (duration 60-180 min) were enrolled. Investigators performing cognitive testing and patients were blinded towards allocation to either xenon or sevoflurane anaesthesia. Baseline assessment of cognitive function was carried out 12-24 h before the operation. The results were compared to follow-up tests 6-12 and 66-72 h after surgery. Primary outcome parameter was the subtest "Alertness" of the computerized Test of Attentional Performance (TAP). Secondary outcome parameters included further subtests of the TAP, several Paper-Pencil-Tests, emergence times from anaesthesia, modified Aldrete scores and patients' well-being.Results40 patients were randomized and equally allocated to both groups. No significant differences were found in the TAP or the Paper-Pencil-Tests at 6-12 and 66-72 h after the operation. All emergence times were faster after xenon anaesthesia. The modified Aldrete scores were significantly higher during the first hour in the xenon group. No difference in well-being could be detected between both groups.ConclusionsThe results show no difference in the incidence of postoperative cognitive dysfunction (POCD) after xenon or sevoflurane anaesthesia. Emergence from general anaesthesia was faster in the xenon group.

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Section: Discussionsupporting

confidence: 57%

“…As described previously, several other subtests of the TAP and additional Paper-Pencil-Tests were selected to monitor a wide spectrum of cognitive functions [13,15,25,26]. …”

Section: Methodsmentioning

confidence: 99%

Early cognitive function, recovery and well-being after sevoflurane and xenon anaesthesia in the elderly: a double-blinded randomized controlled trial

Cremer

Stoppe

Fahlenkamp

et al. 2011

Medical Gas Research

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show abstract

“…Retest reliability has been shown previously for the TAP, but not for such a short interval as used in this study. 20 Though the patients were comparable in this study, further environmental factors cannot be excluded and may have influenced these findings. In this study, the high dropout rate during the late follow-up might have modified the results and may lead to a type II error ( Fig.…”

Section: Discussionmentioning

confidence: 73%

Emergence and early cognitive function in the elderly after xenon or desflurane anaesthesia: a double-blinded randomized controlled trial †

Coburn

Baumert

Roertgen

et al. 2007

British Journal of Anaesthesia

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“…These conditions of chronic stress have also remarkable consequences on the functioning of one's cognitive systems, in particular memory and attention,[789101112] in terms of mental overload. These so-called non-technical skills, like the capability of handling several simultaneous stimuli, are absolutely essential for clinicians to properly carry out their work and manage every-day emergency situations[78] and their integrity is an elementary pre-condition for the overall performance of the cognitive system.…”

Section: Introductionmentioning

confidence: 99%

“…These so-called non-technical skills, like the capability of handling several simultaneous stimuli, are absolutely essential for clinicians to properly carry out their work and manage every-day emergency situations[78] and their integrity is an elementary pre-condition for the overall performance of the cognitive system. [7]…”

Section: Introductionmentioning

confidence: 99%

Does the Maslach Burnout Inventory correlate with cognitive performance in anesthesia practitioners? A pilot study

2013

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Background:Chronic stress is a common condition among health-care operators, anesthetists in particular. It is known to cause cognitive weakening and pathological outcomes, as the Burnout syndrome. Nevertheless, the impact of clinicians’ health on their performance has received limited attention thus far. Our pilot study, aims at evaluating the influence of burnout on the cognitive performance in a population of anesthesia practitioners.Methods:In 18 practitioners we assessed attention by means of reaction times (RTs), pre- and post-shift, with a five-subtest computerized neuropsychological battery. RTs were controlled for the situational anxiety with the State-Trait Anxiety Inventory X1. The burnout level was evaluated with the Maslach Burnout Inventory (MBI). The three MBI sub-scores (emotional exhaustion, depersonalization and professional achievement) were combined to obtain two groups according to the burnout score (high and low).Results:Anesthetists showed a significantly worse performance in the fifth test post-shift (P=0.041) than pre-shift. The high-score burnout group reacted slower than the low-score burnout group in three of the five cognitive subtests, without reaching a statistical significance. Nevertheless, our effect size, which is independent from the sample size, is very large (d=1.165).Conclusion:We found that in a population of health-care operators, burnout may affect the cognitive and potentially, the working performance. Qualitative and quantitative measurements should be integrated to ensure a better management of burnout and its consequences in workplaces.

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Influence of a 30-min break on divided attention and working memory in resident anaesthetists on daily routine

Abstract: A 30-min break during a 7.5 h daily routine did not influence cognitive function tests.

Cited by 13 publications

References 12 publications

Early cognitive function, recovery and well-being after sevoflurane and xenon anaesthesia in the elderly: a double-blinded randomized controlled trial

Early cognitive function, recovery and well-being after sevoflurane and xenon anaesthesia in the elderly: a double-blinded randomized controlled trial

Emergence and early cognitive function in the elderly after xenon or desflurane anaesthesia: a double-blinded randomized controlled trial †

Does the Maslach Burnout Inventory correlate with cognitive performance in anesthesia practitioners? A pilot study

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