Intraoperative posture and workload assessment in vascular surgery

Norasi, Hamid; Tetteh, Emmanuel; Money, Samuel R.; Davila, Victor J.; Meltzer, Andrew J.; Morrow, Melissa M.; Fortune, Emma; Mendes, Bernardo C.; Hallbeck, M. Susan

doi:10.1016/j.apergo.2020.103344

Cited by 43 publications

(30 citation statements)

References 42 publications

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“…Based on previous data Norasi, et al 2021), trunk and neck flexion were the targeted areas to intervene for vascular surgery; a lower back exoskeleton was therefore selected. Exoskeleton with large adjustability range was selected to accommodate both male and female surgeon participants.…”

Section: Strategymentioning

confidence: 99%

“…Advancements in surgical technologies allow surgeons to perform increasingly complex surgical procedures that enhance patient outcomes yet may increase mental and physical demands on the surgeon (Lowndes et al, 2020;Yang et al, 2020;Norasi et al, 2021). Typical physical demands place surgeons at risk of muscular fatigue, physical pain, and in the longer-term, musculoskeletal disorders (MSDs) and negative career events.…”

Section: Introductionmentioning

confidence: 99%

“…The long duration of some surgical procedures that may necessitate working without a break increases the risk of musculoskeletal pain and discomfort among surgeons. For example, the scrub-in to scrub-out time for vascular surgeries has been reported between 1 to 9 hours with the average duration of around 4 hours (Davila et al, 2021;Norasi et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have assessed the ergonomic risk during surgical procedures using wearable sensors during general surgeries (Meltzer et al, 2020), mastectomies (Hallbeck et al, 2020) and vascular surgeries (Davila et al, 2019;Norasi, et al 2021). Collectively, these studies have shown that static and awkward postures maintained for extended periods of time are a critical risk factor for the development of muscle stress, pain, discomfort, and fatigue, but there is considerable variability in the body regions affected across different surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

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Introducing Exoskeletons into the Operating Room: A pilot study with vascular surgeons

Wang

Mendes

Hallbeck

et al. 2021

Proceedings of the Human Factors and Ergonomics Society Annual

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The main goal of this pilot study was to create, implement and evaluate a strategy for introducing exoskeletons in the operating room (OR) at a quaternary care academic hospital. The strategy consisted of operating-room-specific considerations, introducing exoskeletons to surgeons, and a post-surgery survey. Three male attending vascular surgeons participated in eleven data collections to date. Low interference with surgeon’s ability to perform surgery was found for all surgical procedures, except for two open abdominal aortic procedures. The surgeons reported little to no limit on range of motion, except for one open abdominal aortic procedure. Lower than expected perceived improvement of ability to perform surgery and increase of physical comfort was self-reported. The responses indicate that the surgeons are willing to keep trying an exoskeleton intervention. In conclusion, a feasible process was created to introduce passive exoskeleton as an ergonomic intervention to vascular surgeons in their ORs.

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Section: Strategymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Introducing Exoskeletons into the Operating Room: A pilot study with vascular surgeons

Wang

Mendes

Hallbeck

et al. 2021

Proceedings of the Human Factors and Ergonomics Society Annual

Self Cite

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“…Interventional cardiology, electrophysiology, vascular surgery, gastroenterology, orthopedic surgery, and neurosurgery are specialties that perform interventional procedures which frequently utilize fluoroscopy. Among these fields, physicians commonly reported WMSDs of the cervical spine and lumbar spine, which seemingly correlated with monitor viewing, wearing lead protection, poor posture, and instrument design [8][9][10][11][12][13][14][15][16][17]. The considerable increase in cervical pain among interventional cardiologists was attributed to the use of fluoroscopic monitors (P < 0.002) [9].…”

Section: Introductionmentioning

confidence: 99%

Ergonomics and Work-Related Musculoskeletal Disorders: Characteristics Among Female Interventionists

Barnard¹,

Sheaffer²,

Hampton³

et al. 2021

Cureus

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Interventional radiology is a procedural specialty that performs minimally invasive operations under image guidance. Currently, there are inadequate ergonomic protocols for work-related musculoskeletal disorder (WMSD) prevention in interventional radiology (IR), and there is a paucity of information discerning gender differences in WMSDs. This article reviews current literature that addresses WMSDs in female physicians practicing interventional and fluoroscopic procedures, including interventional radiology, interventional cardiology, electrophysiology, vascular surgery, orthopedic surgery, neurosurgery, and gastroenterology. We searched PubMed and EBSCOhost databases for ergonomic studies that reported female physician WMSDs in the specialties listed above. After a thorough evaluation for inclusion based on eligibility criteria, 11 studies were included. From this search, there was poor female representation, averaging 25.7% of respondents. Several characteristics identified across the studies were that women were generally shorter, wore smaller glove sizes, and were younger than their male colleagues. Seventy-two percent of female proceduralists reported WMSDs versus 46.6% of their male colleagues. Additionally, women may experience more upper extremity pain than lumbar pain, which men commonly reported. Potential contributing factors to WMSDs are the size and design of procedural tools and the possible predisposition of female physicians to experience upper extremity WMSDs while performing the same operations as men. As more women enter medicine and pursue careers in procedural fields like interventional radiology, it is essential to address these discrepancies and develop ergonomically sound solutions for women.

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The Angiographic Suite: Setup and Ergonomics

Xie,

Madigan

2024

Mastering Endovascular Techniques

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Intraoperative posture and workload assessment in vascular surgery

Cited by 43 publications

References 42 publications

Introducing Exoskeletons into the Operating Room: A pilot study with vascular surgeons

Introducing Exoskeletons into the Operating Room: A pilot study with vascular surgeons

Ergonomics and Work-Related Musculoskeletal Disorders: Characteristics Among Female Interventionists

The Angiographic Suite: Setup and Ergonomics

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