The Impact of COVID-19 on the Status of the Anesthesiologists’ Well-Being

Aron, Rebecca; Pawlowski, J. M.; Shukry, Mohanad; Shillcutt, Sasha K.

doi:10.1016/j.aan.2021.07.009

Cited by 15 publications

(43 citation statements)

References 52 publications

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“…Die Prävalenz von beruflichem Burnout in der Anästhesiologie liegt zwischen 15 % und 65 % und hat eine kritische Anzahl von gefährdeten Ärzten erreicht, deren eigenes Wohlergehen während einer globalen Pandemie entscheidend ist [ 3 ]. Darüber hinaus wies die Anästhesiologie die höchste Rate an Depressionen während der COVID-19-Pandemie auf [ 1 ].…”

Section: Ergebnisseunclassified

“…Die geringe Bewegungshäufigkeit, das Vorliegen von Komorbiditäten, die Arbeit in einem qualifizierten Krankenhaus, mehr Jahre Berufserfahrung, mehr Nachtschichten und weniger bezahlte Urlaubstage sind einige der aktuellsten Faktoren, die die ohnehin schon schwierige Situation der Ärzte auf der Intensivstation während der Pandemie noch verschlimmerten [ 14 , 24 , 55 ]. Insbesondere für die Leiter der Anästhesie, die Triage-Algorithmen für ICU-Betten oder die chirurgische Priorität trotz begrenzter Verfügbarkeit von COVID-19-Tests und ICU-Betten koordinierten und erstellten und Protokolle/Pfade für die Mitarbeitereinteilung innerhalb der Intensivstationen/Intubationsteams entwickelten, war die mentale Belastung relativ hoch [ 3 ].…”

Section: Ergebnisseunclassified

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Burnout und Abhängigkeit bei ärztlichem Personal zeitlos und während der COVID-19-Pandemie am Beispiel der Chirurgie und Anästhesie

et al. 2022

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Hintergrund Die COVID-19(„coronavirus disease 2019“)-Pandemie wirkt sich auf die psychische Gesundheit und das berufliche Verhalten von Chirurgen und Chirurginnen und Anästhesisten und Anästhesistinnen aus und scheint einen Einfluss auf die Substanzabhängigkeit zu haben. Fragestellung Welche Gründe gibt es für das Auftreten einer Substanzabhängigkeit und einem Burnout bei Chirurgen und Chirurginnen und Anästhesisten und Anästhesistinnen zeitlos und während der COVID-19-Pandemie und welche Verbesserungsmaßnahmen könnten im klinischen Alltag helfen? Material und Methoden Es wurde eine Literaturrecherche in Form einer systematischen Übersicht („systematic review“) zu Studien und Übersichtsarbeiten durchgeführt, die für das Thema relevant sind. Ergebnisse Im Laufe der Jahre hat sich gezeigt, dass Chirurgen bzw. Chirurginnen und Anästhesisten bzw. Anästhesistinnen aufgrund ihres direkten Zugangs zu Medikamenten in der Klinik und der arbeitsbezogenen Stressbelastung zur Drogenabhängigkeit neigen. Insbesondere Chirurgen und Chirurginnen und Anästhesisten und Anästhesistinnen schienen eine erhöhte Neigung zur Suchterkrankungen und ein erhöhtes Burnout-Risiko in der Pandemie vorzuweisen. Schlussfolgerungen Präventive Maßnahmen zugunsten besserer Arbeitsbedingungen in der Chirurgie und Anästhesie und eine bessere Drogenkontrolle (nicht nur wegen der Ausgabe, sondern auch wegen der richtigen Drogentests) sowie mehr Therapie- und Wiedereingliederungsprogramme unter psychiatrischer Begleitung und in Zusammenarbeit mit einem multidisziplinären Team sind sinnvoll.

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Section: Ergebnisseunclassified

Burnout und Abhängigkeit bei ärztlichem Personal zeitlos und während der COVID-19-Pandemie am Beispiel der Chirurgie und Anästhesie

et al. 2022

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“…A cross-sectional study conducted prior to the pandemic found that 60.4% of pain medicine physicians in the US reported high emotional exhaustion and 35.7% reported high depersonalization, a critical symptom in the diagnosis of burnout and a potential symptom observed in PTSD. 20 With the COVID-19 pandemic, pain management providers have experienced the additional burden of staffing shortages, 21 limited hospital resources, 21 extended workloads, 22 and risk of infection; 23 all whilst bearing witness to ongoing death, suffering, and noncompliance to scientifically proven measures aimed at helping us battle COVID-19 and its variants. Specifically, amongst anesthesiologists and interventional physiatrists caring for chronic pain patients, the challenges exerted by COVID-19 have been especially burdensome, as many became frontline healthcare workers within Emergency Departments and Intensive Care Units across the country.…”

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confidence: 99%

“…Burnout has been previously linked to suboptimal patient care, longer recovery times, and decreased patient satisfaction. 21 Within healthcare institutions, burnout can lead to early retirement, job dissatisfaction, career change, and elevated turnover rates, likely due to augmented stress and significantly reduced professional fulfillment. 21,29,30 A recent study including 20,000 clinical and non-clinical healthcare workers across the US indicated that 24% of physicians and 40% of nurses reported a moderate, likely, or definite intent to leave their current practices by 2022.…”

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confidence: 99%

“…21 Within healthcare institutions, burnout can lead to early retirement, job dissatisfaction, career change, and elevated turnover rates, likely due to augmented stress and significantly reduced professional fulfillment. 21,29,30 A recent study including 20,000 clinical and non-clinical healthcare workers across the US indicated that 24% of physicians and 40% of nurses reported a moderate, likely, or definite intent to leave their current practices by 2022. 22 Given the shortage of trained pain physicians and lengthy wait times prior to accessing treatment that were identified well prior to the onset of the COVID-19 crisis, 31 this phenomenon spells potential disaster for many suffering from chronic pain.…”

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confidence: 99%

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Pain Management Providers in the Era of COVID-19: Who is Taking Care of Those Who Provide Care?

Dias

Schatman

2022

JPR

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The overall quality of chronic pain management in the United States is woefully poor, and unfortunately getting worse. Schatman and Fortino recently elucidated many of the causes of this deterioration, 1 although revisiting these deficiencies is beyond the scope of this analysis. As a result of this state, neither patients nor healthcare providers who treat those with chronic pain are particularly satisfied. For example, patients are likely to see themselves as being treated in a system in which their voices are progressively less likely to be heard, where there is a lack of communication and responsiveness, a lack of comprehensive pain care, and rushed visits. 2 On the other hand, providers are dissatisfied by issues including a lack of resources for providing adequate treatment(s), unrealistic patient expectations for pain relief, and their own inadequate educations regarding pain management. 3 COVID-19 has certainly not helped improve the quality of chronic pain management. Much has been written over the past year and a half regarding the effect of the pandemic on treatment that patients have received. The early literature addressed the use of telehealth to provide behavioral services to chronic pain patients, 4 along with best practices consensus statements, which were focused on interventional pain medicine. 5,6 Progressively, other issues were addressed, including the impact of the pandemic on fellowship training, 7 the safety of various medications during COVID-19, 8-10 the risks of developing chronic pain as a result of COVID-19 infection and treatment, 11 manifestations of characterological disturbances among chronic pain sufferers triggered by the pandemic, 12 dealing with disruptions of research on pain management due to the pandemic, 13 the implications of postponed joint replacement surgeries for pain management, 14 the impact of social distancing and other COVID-19-related phenomena on psychosocial aspects of chronic pain, 15,16 the impact of the redeployment of clinical staff from pain management departments due to the pandemic, 17 and the effect of the pandemic on the opioid epidemic, 18,19 among several other areas of investigation. The focus of the extant medical literature on pain patient well-being and threats to it is certainly appropriate. Glaringly absent, however, in a thorough review of the literature are articles addressing the impact of COVID-19 on providers of chronic pain management services. Amidst myriad adjustments observed in pain management practices across the US as a result of the COVID-19 pandemic, this analysis aims to underscore the

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Effects of fatigue on anaesthetist well-being and patient safety: a narrative review

Ippolito,

Einav,

Giarratano

et al. 2024

British Journal of Anaesthesia

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The Impact of COVID-19 on the Status of the Anesthesiologists’ Well-Being

Cited by 15 publications

References 52 publications

Burnout und Abhängigkeit bei ärztlichem Personal zeitlos und während der COVID-19-Pandemie am Beispiel der Chirurgie und Anästhesie

Burnout und Abhängigkeit bei ärztlichem Personal zeitlos und während der COVID-19-Pandemie am Beispiel der Chirurgie und Anästhesie

Pain Management Providers in the Era of COVID-19: Who is Taking Care of Those Who Provide Care?

Effects of fatigue on anaesthetist well-being and patient safety: a narrative review

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