CC BY 4.0 · J Neuroanaesth Crit Care 2024; 11(02): 086-092
DOI: 10.1055/s-0044-1786177
Review Article

Optimizing Comfort and Efficiency: The Crucial Role of Ergonomics for Neuroanesthesiologists in the Operating Room

1   Department of Neuroanesthesia and Critical Care, Aster Medicity, Kochi, Kerala, India
,
2   Division of Neuroanesthesia & Critical Care, Department of Anesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
,
2   Division of Neuroanesthesia & Critical Care, Department of Anesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
,
2   Division of Neuroanesthesia & Critical Care, Department of Anesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
,
2   Division of Neuroanesthesia & Critical Care, Department of Anesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
,
2   Division of Neuroanesthesia & Critical Care, Department of Anesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
› Author Affiliations

Abstract

Ergonomic principles, when applied effectively, reduce the risk of musculoskeletal injuries, fatigue, and discomfort among neuroanesthesiologists who spend extended hours in the operating room. Properly designed workstations and equipment can enhance accessibility and allow for better positioning during procedures, minimizing the potential for errors and complications. Furthermore, an ergonomic approach fosters a culture of safety and well-being, supporting neuroanesthesiologists' physical and mental health. It promotes teamwork and communication among the surgical team, leading to smoother and more efficient surgeries. Neuroanesthesiologists who work in ergonomically optimized environments are more likely to remain focused, make critical decisions with clarity, and provide the highest standard of patient care. In the evolving landscape of neurosurgery, where advancements in technology and techniques continue to push the boundaries of what is possible, ergonomics is a fundamental pillar that ensures neuroanesthesiologists can adapt, learn, and perform at their best. As we recognize the significance of ergonomics, it becomes essential to invest in ongoing education, research, and implementation of ergonomic solutions to support the dedicated professionals who play a crucial role in neurosurgical care. In summary, prioritizing ergonomics in neurosurgical operating rooms is not just a matter of comfort, it is an investment in the well-being and effectiveness of neuroanesthesiologists and, ultimately, in the quality of care provided to patients undergoing neurosurgical procedures. By integrating ergonomic principles into our practice, we can create safer, more efficient, and more sustainable environments for neuroanesthesiologists, ensuring the continued success of neurosurgery in the years to come.



Publication History

Article published online:
11 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Vargas-Prada S, Macdonald EB. Increased reporting of musculoskeletal pain in anaesthetists: is it an occupational issue?. Anaesthesia 2019; 74 (03) 274-276
  • 2 Walker JD. Posture used by anaesthetists during laryngoscopy. Br J Anaesth 2002; 89 (05) 772-774
  • 3 Jung HS, Jung HS. Hand dominance and hand use behaviour reported in a survey of 2437 Koreans. Ergonomics 2009; 52 (11) 1362-1371
  • 4 Garonzik R. Hand dominance and implications for left-handed operation of controls. Ergonomics 1989; 32 (10) 1185-1192
  • 5 Gupta L, Gupta B. Anesthesia for neurosurgery (Part I). Indian J Clin Anesth 2018; 5 (01) 1-8
  • 6 Vaithialingam B, Rudrappa S, Gopal S, Masapu D. Ergonomic challenges and intraoperative concerns during O-arm®-guided neurosurgical procedures. Indian J Anaesth 2023; 67 (07) 644-646
  • 7 El-Orbany M, Woehlck H, Salem MR. Head and neck position for direct laryngoscopy. Anesth Analg 2011; 113 (01) 103-109
  • 8 Nayak LK, Desingh DC, Narang N, Sethi A. Comparison of laryngoscopic view obtained by conventional head rise to that obtained by horizontal alignment of external auditory meatus and sternal notch. Anesth Essays Res 2019; 13 (03) 535-538
  • 9 Grundgeiger T, Roewer N, Grundgeiger J, Hurtienne J, Happel O. Body posture during simulated tracheal intubation: GlideScope(®) videolaryngoscopy vs Macintosh direct laryngoscopy for novices and experts. Anaesthesia 2015; 70 (12) 1375-1381
  • 10 Bailey CR, Radhakrishna S, Asanati K. et al. Ergonomics in the anaesthetic workplace: guideline from the Association of Anaesthetists. Anaesthesia 2021; 76 (12) 1635-1647
  • 11 Carrivick PJ, Lee AH, Yau KK, Stevenson MR. Evaluating the effectiveness of a participatory ergonomics approach in reducing the risk and severity of injuries from manual handling. Ergonomics 2005; 48 (08) 907-914
  • 12 MacDonald JJ, Washington SJ. Positioning the surgical patient. Anaesth Intensive Care Med 2012; 13: 528-532
  • 13 Bergman R, De Jesus O. Patient Care Transfer Techniques. [Updated October 17, 2022]. In: StatPearls [Internet].: Treasure Island, FL: StatPearls Publishing; January 2024. Accessed April 4, 2024 at: https://www.ncbi.nlm.nih.gov/books/NBK564305/
  • 14 Hypothermia: Prevention and Management in Adults Having Surgery. London: National Institute for Health and Care Excellence (NICE); December 2016 (NICE Clinical Guidelines, No. 65). Accessed April 4, 2024 at: https://www.ncbi.nlm.nih.gov/books/NBK554181/
  • 15 Association of Surgical Technologists. Guidelines for Best Practices for Humidity in the Operating Room; 2017. Accessed April 4, 2024 at: https://www.ast.org/uploadedFiles/Main_Site/Content/About_Us/ASTGuidelinesHumidityintheOR.pdf
  • 16 Katz JD. Noise in the operating room. Anesthesiology 2014; 121 (04) 894-898
  • 17 Wahr JA, Prager RL, Abernathy III JH. et al; American Heart Association Council on Cardiovascular Surgery and Anesthesia, Council on Cardiovascular and Stroke Nursing, and Council on Quality of Care and Outcomes Research. Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. Circulation 2013; 128 (10) 1139-1169
  • 18 Weldon SM, Korkiakangas T, Bezemer J, Kneebone R. Music and communication in the operating theatre. J Adv Nurs 2015; 71 (12) 2763-2774
  • 19 Mcleod R, Myint-Wilks L, Davies SE, Elhassan HA. The impact of noise in the operating theatre: a review of the evidence. Ann R Coll Surg Engl 2021; 103 (02) 83-87
  • 20 Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia 2011; 66 (03) 175-179
  • 21 Wadhera RK, Parker SH, Burkhart HM. et al. Is the “sterile cockpit” concept applicable to cardiovascular surgery critical intervals or critical events? The impact of protocol-driven communication during cardiopulmonary bypass. J Thorac Cardiovasc Surg 2010; 139 (02) 312-319
  • 22 Moppett IK. Who is distracting whom?. Anaesthesia 2015; 70 (08) 1006-1007
  • 23 Edworthy J. Alarms are still a problem!. Anaesthesia 2013; 68 (08) 791-794
  • 24 de Man FR, Erwteman M, van Groeningen D. et al. The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial. Anaesthesia 2014; 69 (06) 598-603
  • 25 Schmid F, Goepfert MS, Reuter DA. Patient monitoring alarms in the ICU and in the operating room. Crit Care 2013; 17 (02) 216
  • 26 Health and Safety Executive. Lighting at Work. 2nd ed. 1997. Accessed April 4, 2024 at: https://www.hse.gov.uk/pubnS/priced/hsg38.pdf
  • 27 International Organization for Standardization. ISO 7376:2020. Anaesthetic and respiratory equipment — Laryngoscopes for tracheal intubation. Geneva: ISO; 2020. Accessed April 4, 2024 at: https://www.iso.org/standard/71539.html
  • 28 Ortega R. The physiological and psychological impact of anesthesia on anesthesiologists: a narrative review. Saudi J Anaesth 2019; 13 (Suppl. 01) S16-S21
  • 29 Lenzo V, Quattropani MC, Sardella A, Martino G, Bonanno GA. Depression, anxiety, and stress among healthcare workers during the COVID-19 outbreak and relationships with expressive flexibility and context sensitivity. Front Psychol 2021; 12: 623033
  • 30 Khetarpal R, Chatrath V, Kaur J, Verma A. Occupational stress in anesthesiologists and coping strategies: a review. Int J Sci Stud 2015; 3 (06) 188-192