Sleep deprivation among surgical residents: Does it affect performance while practising a laparoscopic intestinal anastomosis?

Noval, Héctor Real; Parra, José Ignacio Martín; Fernández, Jennifer Fernández; Criado, Álvaro del Castillo; Gómez, José Luis Ruiz; Useros, Antonio López; Santiago, Roberto; Palazuelos, José Carlos Manuel

doi:10.1016/j.cireng.2022.03.014

Cited by 2 publications

(2 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, attentional failures are associated with serious residentphysician-related medical errors, especially with shifts of 24+ hours 30 ; a similar impact is observed in surgical residents with higher rates of surgical complications without any intervention. However, additional clinical trials are needed to evaluate the effects of a-tDCS in the performance of health workers in clinical settings 32 .…”

Section: Discussionmentioning

confidence: 99%

Effect of the anodal transcranial direct current electrical stimulation on cognition of medical residents with acute sleep deprivation

San-Juan¹,

Mas²,

Gutiérrez³

et al. 2022

Sleep Sci

View full text Add to dashboard Cite

Background: Medical residents must sustain acute sleep deprivation, which can lead to nonfatal and fatal consequences in hospitals due to cognitive decline. Anodal transcranial direct current stimulation (a-tDCS) is a safe noninvasive neuromodulation technique that can induce depolarization of neurons. Previous studies in pilots have shown benefits against fatigue increasing wakefulness and cognitive performance. However, the effects of a-tDCS on cognition in acute sleep deprived healthcare workers remains unknown. Purpose: To evaluate cognitive changes in sleep deprived medical residents after one session of a-tDCS. Methods: Open clinical test-re-test study including 13 medical residents with acute sleep deprivation. Subjects received 1 session of bifrontal a-tDCS (2mAx20min), anodal over the left dorsolateral prefrontal region. Pre-and-post treatment subjects were tested with Beck anxiety inventory, Beck depression and HVLT tests, Rey´s and Taylor´s figures, Trail Making A/B, Stroop, Aleatory Digit retention test (WAIS), Digits and symbols and MoCA tests. Post-intervention was added the Executive functions and Frontal Lobes Neuropsychological Battery (BANFE2) test and changing the Taylor figure for Reyfigure. Results: Twelve medical residents were analyzed; 8 men and 4 women, 29.5 (+/-2.2) years mean age. All had a mean of 21.6 (+/-1.3) hours of sleep deprivation. There were no serious adverse events. We found statistically significant difference in Rey´s/Taylor´s figures (p=0.002), Trail Making Test (p=0.005), WAIS IV symbols (p=0.003), Word Stroop (p=0.021). BANFE-2 showed that the main affected area was the orbito-medial prefrontal region. Conclusion: a-tDCS appears safe and improves working memory, attention, response time and distractors elimination in acute sleep deprived medical residents.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of the anodal transcranial direct current electrical stimulation on cognition of medical residents with acute sleep deprivation

San-Juan¹,

Mas²,

Gutiérrez³

et al. 2022

Sleep Sci

View full text Add to dashboard Cite

show abstract

“…Furthermore, both working in suboptimal conditions and the consequences it produces on the health of the residents could in turn pose a great risk to patient's safety (Rodriguez-Jareño et al 2014), when attended by these professionals who can spend up to 32 hours working non-stop. This situation is especially alarming in surgical specialties due to the fact that they are the ones with the worst results in terms of working conditions and mental health, and at the same time they are the professionals where it is probably most necessary to keep their cognitive capacities intact in order not to make critical errors that can be fatal for the health of their patients (Real Noval H et al 2022).…”

Section: Discussionmentioning

confidence: 99%

Resident physician duty hours, resting times and European Working Time Directive compliance in Spain: a cross sectional study.

Martínez

Carrasco

Estrella

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: There is a growing interest in understanding the impact of duty hours and resting times on training outcomes and the wellbeing of resident physicians. However, to this date no state-wide analysis exists in any European country. Objectives: Our aim is to describe the shift work scheduling and to detail the degree of compliance with the Spanish legislation and the European Working Time Directive (EWTD) of Spanish resident physicians, focusing on territorial and specialty distribution. Material and methods:A descriptive cross-sectional analytical study was designed through an online survey adapted from the existing literature. Results: Out of the 2,035 surveyed resident physicians undergoing PGT in Spain, 80.49% exceeded the 48h per week limit set by the EWTD and 13% of them did not rest after a 24h on-call shift. The mean number of on-call shifts per month was 5.10, with the highest mean reported in Asturias, La Rioja, and Extremadura. 51.6% of respondents had a day-off after a Saturday on-call shift. Significant differences are observed by region and type of specialty. Conclusion: Resident physicians in Spain greatly exceed the established 48h/week EWTD limit. Likewise, non-compliance with labor regulations regarding mandatory rest after on-call duty and minimum weekly rest periods are observed.

show abstract

Sleep deprivation among surgical residents: Does it affect performance while practising a laparoscopic intestinal anastomosis?

Cited by 2 publications

References 28 publications

Effect of the anodal transcranial direct current electrical stimulation on cognition of medical residents with acute sleep deprivation

Effect of the anodal transcranial direct current electrical stimulation on cognition of medical residents with acute sleep deprivation

Resident physician duty hours, resting times and European Working Time Directive compliance in Spain: a cross sectional study.

Contact Info

Product

Resources

About