The effect of operating time on surgeon’s hand tremor
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Abstract
The objective of this prospective study, performed at two tertiary referral centers in the West Midlands, was to determine if operating has an effect on a surgeon’s baseline tremor. A total of 10 head and neck surgery consultants, 2 ENT registrars and 19 normal controls participated in the study. The interventions were preoperative and postoperative tremor measurements for surgeons and pre and post-days’ desk work for controls, with the main outcomes measure being the percentage change in tremor. No difference in baseline tremor was determined between consultants and registrars. Operating led to an increase in hand tremor in all subjects. Tremor increases in all subjects were directly proportional to the length of the time spent in operating. Operating compared to a normal day’s desk work increased tremor by a factor of 8.4. In conclusion, surgeons should be aware that their tremor will increase as an operation progresses. More complex parts should be performed as early in the day as possible, or, in the case of a very long operation, a change of surgeons may occasionally be necessary.
Keywords
Tremor SurgeryNotes
Acknowledgments
The authors would like to acknowledge support from the EPSRC for the funding of the project. They would also like to acknowledge the surgeons and theater staff at the Queen Elizabeth Hospital Birmingham, UK, and the University Hospital of North Staffordshire, UK, which participated in the collection of the data.
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