Assessing surgeon stress when operating using heart rate variability and the State Trait Anxiety Inventory: Will surgery be the death of us?

Colorectal Disease

Volumn 17, Issue 4, 2015, Pages 335-341

  Jones, K I ^a   Amawi, F ^b   Bhalla, A ^b   Peacock, O ^c   Williams, J P ^b   Lund, J N ^b  

^a OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^b Division of Medical Sciences Graduate Entry Medicine   (United Kingdom)

^c ROYAL DERBY HOSPITAL   (United Kingdom)

Author keywords

Heart rate variability; Objective; Stress; Subjective; Surgery

Indexed keywords

ARTICLE; COLORECTAL SURGERY; COMPUTER PROGRAM; CONSULTATION; FEMALE; HEART RATE VARIABILITY; HUMAN; HUMAN EXPERIMENT; MALE; MENTAL STRESS; NORMAL HUMAN; PRIORITY JOURNAL; RECTUM ANTERIOR RESECTION; STATE TRAIT ANXIETY INVENTORY; SURGEON; SYMPATHETIC TONE; TASK PERFORMANCE; WIRELESS COMMUNICATION; ANXIETY; CARCINOMA; COLON RESECTION; COLORECTAL NEOPLASMS; ELECTIVE SURGERY; HEART RATE; PATHOPHYSIOLOGY; PSYCHOLOGY;

ANXIETY; CARCINOMA; COLECTOMY; COLORECTAL NEOPLASMS; ELECTIVE SURGICAL PROCEDURES; FEMALE; HEART RATE; HUMANS; MALE; STRESS, PSYCHOLOGICAL; SURGEONS;

EID: 84924973956     PISSN: 14628910     EISSN: 14631318     Source Type: Journal    
DOI: 10.1111/codi.12844     Document Type: Article

References (35)

1. Arora S, Sevdalis N, Nestel D, Woloshynowych M, Darzi A, Kneebone R. The impact of stress on surgical performance: a systematic review of the literature. Surgery 2010; 147: 318-30.
2. Selye H. The evolution of the stress concept. Am Sci 1973; 61: 692-9.
3. Wetzel CM, Black SA, Hanna GB et al. The effects of stress and coping on surgical performance during simulations. Ann Surg 2010; 251: 171-6.
4. Arora S, Tierney T, Sevdalis N et al. The Imperial Stress Assessment Tool (ISAT): a feasible, reliable and valid approach to measuring stress in the operating room. World J Surg 2010; 34: 1756-63.
5. Driskell JE, Salas E. Overcoming the Effects of Stress on Military Performance; Human Factors, Training and Selection Strategies. Oxford, UK: Wiley, 1991.
6. Flin R, O'Connor P, Crichton M. Safety at the Sharp End: A Guide to Non-Technical Skills. Aldershot, UK: Ashgate, 2008.
7. Kivimaki M, Leino-Arjas P, Luukkonen R, Riihimai H, Vahtera J, Kirjonen J. Work stress and risk of cardiovascular mortality: prospective cohort study of industrial employees. Br Med J 2002; 325: 85.
8. Steptoe A, Kivimaki M. Stress and cardiovascular disease. Nat Rev 2012; 9: 360-70.
9. Brotman DJ, Golden SH, Wittstein IS. The cardiovascular toll of stress. Lancet 2007; 370: 1089-100.
10. Chandola T, Britton A, Brunner E et al. Work stress and coronary heart disease: what are the mechanisms? Eur Heart J 2008; 29: 640-8.
11. Akselrod S, Gordon D, Madwed JB, Snidman NC, Shannon DC, Cohen RJ. Hemodynamic regulation: investigation by spectral analysis. Am J Physiol 1985; 249: H867.
12. Malliani A, Pagani M, Lombardi F, Cerutti S. Cardiovascular neural regulation explored in the frequency domain. Circulation 1991; 84: 482.
13. Molgaard H. Evaluation of the Reynolds Pathfinder II system for 24 h heart rate variability analysis. Eur Heart J 1991; 12: 1153.
14. Böhm B, Rötting N, Schwenk W, Grebe S. A prospective randomized trial on heart rate variability of the surgical team during laparoscopic and conventional sigmoid resection. Arch Surg 2001; 136: 305.
15. Demirtas Y, Tulmac M, Yavuzer R et al. Plastic surgeon's life: marvelous for mind, exhausting for body. Plast Reconstr Surg 2004; 114: 923-31.
16. Song MH, Tokuda Y, Nakayama T, Sato M, Hattori K. Intraoperative heart rate variability of a cardiac surgeon himself in a coronary artery bypass grafting surgery. Interact Cardiovasc Thorac Surg 2009; 8: 639-41.
17. Prichard RS, O'Neill CJ, Oucharek JJ, Holmes CY, Delbridge LW, Sywak MS. A prospective study of heart rate variability in endocrine surgery: surgical training increases consultant's mental strain. J Surg Educ 2012; 69: 453-8.
18. Gamelin FX, Berthoin S, Bosquet L. Validity of the polar S810 heart rate monitor to measure R-R intervals at rest. Med Sci Sports Exerc 2006; 38: 887-93.
19. Malik M. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability. Circulation 1996; 93: 1043.
20. Pagani M, Furlan R, Pizzinelli P, Crivellaro W, Cerutti S, Malliani A. Spectral analysis of R-R and arterial pressure variabilities to assess sympatho-vagal interaction during mental stress in humans. Hypertension 1989; 7: S14-5.
21. Lin LY, Wu CC, Liu CC, Ho YB, Liau YL, Lee YT. Derangement of heart rate variability during a catastrophic earthquake: a possible mechanism for increased heart attacks. Pacing Clin Electrophysiol 2001; 24: 1586.
22. McCraty R, Atkinson M, Tiller AW, Rein G, Watkins AD. THe effects of emotions on short term power spectrum analysis of heart rate variability. Am J Cardiol 1995; 76: 1089.
23. Speilberger CD, Gorsuch RL, Lushene R. STAI Manual. Palo Alto, CA: Consulting Psychologist Press, 1970.
24. Metzger RL. A reliability and validity study of the State Trait Anxiety Inventory. J Clin Psychol 1976; 32: 276-8.
25. Marteau TM, Bekker H. The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). Br J Clin Psychol 1992; 31: 301-6.
26. Hassan I, Weyers P, Maschuw K et al. Negative stress-coping strategies among novices in surgery correlate with poor virtual laparoscopic performance. Br J Surg 2006; 93: 1554-9.
27. Buchanan TW, Tranel D, Adolphs R. Impaired memory retrieval correlates with individual differences in cortisol response but not autonomic response. Learn Mem 2006; 13: 382-7.
28. Keinan G. Decision making under stress: scanning of alternatives under controllable and uncontrollable threats. J Pers Soc Psychol 1987; 52: 639-44.
29. Vedhara K, Hyde J, Gilchrist ID et al. Acute stress, memory, attention and cortisol. Psychoneuroendocrinology 2000; 25: 535-49.
30. Langelotz C, Scharfenberg M, Haase O, Schwenk W. Stress and heart rate variability in surgeons during a 24-hour shift. Arch Surg 2008; 143: 751-5.
31. Martin JA, Regehr G, Reznick R et al. Objective Structured Assessment of Technical Skills (OSATS) for surgical residents. Br J Surg 1997; 84: 273-8.
32. Sevdalis N, Davus R, Koutantjii M, Undre S, Darzi A, Vincent CA. Reliability of a revised NOTECHS scale for use in surgical teams. Am J Surg 2008; 196: 184-90.
33. Molgaard H, Sorensen KE, Bjerregaard P. Circadian variation and influence of risk factors on heart rate variability in healthy subjects. Am J Cardiol 1991; 68: 777.
34. Bigger JT, Fleiss JL, Steinman RC, Rolnitzky LM, Schneider WJ, Stein PK. RR variability in healthy, middle-aged persons compared with patients with chronic coronary heart disease or recent acute myocardial infarction. Circulation 1995; 91: 1936.
35. Vaishnav S, Stevenson R, Marchant B, Lagi K, Ranjadayalan K, Timmis AD. Relation between heart rate variability early after acute myocardial infarction and long-term mortality. Am J Cardiol 1994; 73: 653.