Practicality of using galvanic skin response to measure intraoperative physiologic autonomic activation in operating room team members

Phitayakorn, Roy; Minehart, Rebecca D.; Pian-Smith, May C. M.; Hemingway, Maureen

doi:10.1016/j.surg.2015.04.009

Cited by 24 publications

(28 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, this analysis also shows a negative correlation between signals in each respondent. It improves the approach of Phitayakorn et al [38], who found no correlation of the GSR signals measured between the wrist and the ankle (a place close to the inner side of the right foot used in this experiment), due the ankle is less sensitive to GSR fluctuation-supported by Betancourt et al [21]. They affirm that children with Neurodevelopmental Communication Impairments tolerated better biosensors secured with either an ankle wrap or socks than on the wrist.…”

Section: Discussionsupporting

confidence: 72%

See 1 more Smart Citation

Correlation Analysis of Different Measurement Places of Galvanic Skin Response in Test Groups Facing Valence and Arousal Changes

Sanchez-Comas¹,

Synnes²,

Molina-Estren³

et al. 2020

Preprint

View full text Add to dashboard Cite

The Galvanic Skin Response (GSR, also widely known as electrodermal activity EDA) is one of the signals related to this emotional reaction. Given the sparsity of studies related to and the variety of devices, we experimented at the Human Health Activity Laboratory with 17 healthy subjects. The goal is to know the variability of detection changes in the electrodermal activity among a test group with heterogeneous respondents in response to valence and arousal stimuli, correlating GSR biosignals measured from different body sites. We experiment with the right and left wrist, left fingers, the right foot's inner side using Shimmer3GSR, and Empatica E4 sensors. Results indicate as the most promising homogeneous GSR measure place the left fingers and right foot. Results suggest that due to a significantly strong correlation among the inner side of the right foot and left fingers and moderate correlations with the right and left wrist, the foot is a good place to measure EDA. This paper also contributes knowledge about some wearable sensor technologies available in the market. Shimmer3GSR sensor may be better reliable to homogenous detecting electrodermal activity changes, as these have fewer anomalies among the respondents. However, we found some anomalies in signals from the Empatica E4 sensor, which we discuss in this work.

show abstract

Section: Discussionsupporting

confidence: 72%

“…Phitayakorn et al [38] conducted a study to determine the practicality of the Bandu wristwatch (manufactured by Neumitra Inc., Boston, MA. ), to measure galvanic skin response (GSR) in operating room team members during surgical simulations, wearing a sensor on the wrist and the ankle.…”

Section: Related Workmentioning

confidence: 99%

Correlation Analysis of Different Measurement Places of Galvanic Skin Response in Test Groups Facing Valence and Arousal Changes

Sanchez-Comas¹,

Synnes²,

Molina-Estren³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The students were already physiologically activated before the scenario began, which Phitayakorn et al. (2015) claimed is due to anxiety regarding the upcoming simulation. In the present study, the baseline was, therefore, not measured before, as it would have required an extended rest before the simulation.…”

Section: Discussionmentioning

confidence: 99%

“…The autonomic nervous system activities are registered through a person's electrodermal activity. The registration of increased humidity, initiated at an intuitive level by the sympathetic nervous system, alters the skin's conductivity which is depending on attentional, emotional and motivational processes in the nervous system that takes place during emotional arousal (Phitayakorn, Minehart, Pian‐Smith, Hemingway, & Petrusa, 2015). The registration of the autonomic nervous system activity shows the person's cognitive load in real time (Nourbakhshet al, 2017).…”

Section: Methodsmentioning

confidence: 99%

Physical stress triggers in simulated emergency care situations

et al. 2020

View full text Add to dashboard Cite

A nurse's knowledge, skills and experience are of great importance for ensuring good and safe care. Thus, it is important that nurses in training are given the opportunity to practise, for example emergency care situations during their education (Abelsson, Rystedt, Suserud, & Lindwall, 2018). Practice to become a clinically competent nurse in educational settings and the assessment of competence is therefore important as it ensures that the individual knows what is required of them when carrying out their profession (Miller, 1990). Marton and Booth (1997) believe that knowledge is to know and to understand something. Aristotle (2000) also describes knowledge as a skill used in practical action. Gadamer (1989) describes how knowledge leads to further knowledge and experiences. With pre-knowledge and familiarity within an area, understanding and interpretation can lead to new knowledge beyond our existing meaning horizon. Knowledge and experience are created in a circle where the interpreter of a phenomenon creates a design of meaning by moving from the whole (the theorem) to the part (the set pieces) and back to the whole (Gadamer, 1989). 2 | BACKG ROU N D With simulation, theoretical and practical knowledge can be trained to become experiences. Simulation is, therefore, increasingly used in nurse education. In situ simulations are common as they include the demonstration of skills and show the participants' performance of an independent clinical practitioner, according to Miller's competence pyramid (1990). Simulation, however, exposes students to different degrees of stress and anxiety (Abelsson & Bisholt, 2017; Abelsson et al., 2018). The complexity of the simulated environment determines the level of stress experienced by the participants. At a medically advanced level, the more complex environment with many simultaneous events, the more complicated the simulation and thus increasing levels of stress (Abelsson et al., 2018). If the simulated scenarios have relevant content and are not exaggerated, participants maintain a comfortable stress level (Abelsson & Bisholt, 2017). By minimizing the nursing students' stress, the learning improves (Miller & Sawatzky, 2017).

show abstract

“…This might be due to failure of our exercise to produce subjective stress in some subjects, a finding also observed to a bigger extent in a similar study. 1 Although stress activation has been studied in other occasions using EDA [16][17] , only one study used wrist and/or ankle wearable skin EDA device to measure simulation provoked OR stress 18 , while five other simulation studies measured EDA to assess acute stress in surgeons, using electrodes placed on either palmar surface [19][20][21] , ulnar edge 22 or neck 23 thus obviously reducing clinical application in an OR setting. However, all six aforementioned studies showed that EDA levels are increased in stress.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of a New Wearable Device to Estimate Acute Stress in Novices During High-fidelity Surgical Simulation

et al. 2019

View full text Add to dashboard Cite

Background: Stress associated with learning of a psychomotor task can influence the trainees learning ability. Surgical simulation is a validated training milieu designed to replicate real-life situations, prevent biases and provide objective metrics. However, the complexity of stress mechanisms and the absence of a reliable detection method make stress estimation difficult to quantify and to interpret. Aim: a) To assess the feasibility of a new watch-sized device to noninvasively measure stress parameters in novices during a simulation task and b) to compare its derived cardiac stress parameters to those of an ambulatory Holter monitor. Materials and methods: Twenty-one novices were trained on a basic skills module. During base line, exercise, and recovery phases, all subjects wore a wearable device and data regarding blood volume pressure, heart rate, inter beat interval, electrodermal activity, and skin temperature were recorded. Additionally, Holter Monitoring was used to concomitantly capture heart rate, R-R intervals and heart rate variability. Before and after each experiment, all subjects completed the short, six-item STAI scale. Results: Data analysis showed: a) when compared to STAI, electrodermal activity exhibited the best correlation, sensitivity and specificity and b) the device derived cardiac parameters highly correlated with the reciprocal Holter values during all experiment phases. Conclusion: This wearable device is an easy to use and well accepted by the participants noninvasive tool, which can provide accurate stress estimation in our simulation setting. Additionally, it can replicate Holter derived stress related heart parameters, thus eliminating the need to wear a rather cumbersome device.

show abstract

Practicality of using galvanic skin response to measure intraoperative physiologic autonomic activation in operating room team members

Cited by 24 publications

References 13 publications

Correlation Analysis of Different Measurement Places of Galvanic Skin Response in Test Groups Facing Valence and Arousal Changes

Correlation Analysis of Different Measurement Places of Galvanic Skin Response in Test Groups Facing Valence and Arousal Changes

Physical stress triggers in simulated emergency care situations

Feasibility of a New Wearable Device to Estimate Acute Stress in Novices During High-fidelity Surgical Simulation

Contact Info

Product

Resources

About