Objective evaluation of the effect of noise on the performance of a complex laparoscopic task

Moorthy, Krishna; Munz, Yaron; Undre, Shabnam; Darzi, Ara

doi:10.1016/j.surg.2003.12.011

Cited by 109 publications

(129 citation statements)

References 21 publications

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“…The detrimental effect of activating music was strong during the first trial and accompanied by a significantly increased autonomic response (increased heart rate). However, this effect disappeared completely in the subsequent trials, possibly indicating the ability of the brain to compensate for slight disturbances [14]. When we compared the performance of the participants who experienced the music as pleasant with that of those who felt more uncomfortable with the music, the overall performance was not different.…”

Section: Discussionmentioning

confidence: 94%

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Randomized controlled trial investigating the effect of music on the virtual reality laparoscopic learning performance of novice surgeons

et al. 2008

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Background Findings have shown that music affects cognitive performance, but little is known about its influence on surgical performance. The hypothesis of this randomized controlled trial was that arousing (activating) music has a beneficial effect on the surgical performance of novice surgeons in the setting of a laparoscopic virtual reality task. Methods For this study, 45 junior surgeons with no previous laparoscopic experience were randomly assigned to three equal groups. Group 1 listened to activating music; group 2 listened to deactivating music; and group 3 had no music (control) while each participant solved a surgical task five times on a virtual laparoscopic simulator. The assessed global task score, the total task time, the instrument travel distances, and the surgeons' heart rate were assessed. Results All surgical performance parameters improved significantly with experience (task repetition). The global score showed a trend for a between-groups difference, suggesting that the group listening to activating music had the worst performance. This observation was supported by a significant between-groups difference for the first trial but not subsequent trials (activating music, 35 points; deactivating music, 66 points; no music, 91 points; p = 0.002). The global score (p = 0.056) and total task time (p = 0.065) showed a trend toward improvement when participants considered the music pleasant rather than unpleasant. Conclusions Music in the operating theater may have a distracting effect on novice surgeons performing new tasks. Surgical trainers should consider categorically switching off music during teaching procedures.

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Section: Discussionmentioning

confidence: 94%

“…The group size was chosen according to previous studies with a similar study design [13,14]. Those who had experience with laparoscopic surgery or endoscopic procedures were excluded to rule out the potential for bias resulting from different levels of experience.…”

Section: Participantsmentioning

confidence: 99%

Randomized controlled trial investigating the effect of music on the virtual reality laparoscopic learning performance of novice surgeons

et al. 2008

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“…Additionally, patients who are conscious for part or all of their time in the operating theater may become more anxious because of the noise [9]. Noise in the operating room environment also could have a negative impact on surgeons' performance of surgical procedures [10,11].…”

Section: Resultsmentioning

confidence: 99%

“…One study showed that background noise at 113 dB had a negative impact on surgical laparoscopic performance [11], whereas another study on the effect of noise and background music showed no difference in task performance in terms of the time taken to complete a task [10] In other studies, music has had a positive impact on surgeons and their performance. Surgeon-selected music has been associated with reduced autonomic reactivity and improved performance of a stressful nonsurgical laboratory task [12].…”

Section: Resultsmentioning

confidence: 99%

The effect of defined auditory conditions versus mental loading on the laparoscopic motor skill performance of experts

Conrad

Konuk

Werner³

et al. 2009

Surg Endosc

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The study demonstrated that, contrary to common belief, proficiency in surgery does not protect against stressful auditory influences or the influence of mental preoccupation. Interestingly, relaxing auditory influences such as classical music can even have a positive impact on the accuracy of experts. Previous musical experience could help to identify surgeons whose performance may be specifically affected by music or noise.

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“…Activities that require a high degree of attention or information processing, such as laparoscopic and robotic surgery, are affected by noise [30][31][32][33][34] .…”

Section: Effects Of Noise Pollutionmentioning

confidence: 99%

Exposição ocupacional a poluição sonora em anestesiologia

Oliveira¹,

Nogueira²

2012

Rev. Bras. Anestesiol.

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Summary: Oliveira CRD, Arenas GWN -Occupational Exposure to Noise Pollution in Anesthesiology. Background and objectives:The harmful effects of workplace noise pollution are well known and described in the literature. The effects of prolonged exposure to noise in areas demanding high level of concentration, such as operating rooms, depend on the variability of individual responses and intensity of different generation sources. The aim of this paper is to present a review of occupational exposure to noise in anesthesiology.

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Objective evaluation of the effect of noise on the performance of a complex laparoscopic task

Cited by 109 publications

References 21 publications

Randomized controlled trial investigating the effect of music on the virtual reality laparoscopic learning performance of novice surgeons

Randomized controlled trial investigating the effect of music on the virtual reality laparoscopic learning performance of novice surgeons

The effect of defined auditory conditions versus mental loading on the laparoscopic motor skill performance of experts

Exposição ocupacional a poluição sonora em anestesiologia

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