MP51-05 DOES TRAINEE PERFORMANCE IMPACT SURGEON'S STRESS DURING ROBOT-ASSISTED SURGERY?

摘要

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment I1 Apr 2017MP51-05 DOES TRAINEE PERFORMANCE IMPACT SURGEON'S STRESS DURING ROBOT-ASSISTED SURGERY? Somayeh Shafiei, Ahmed Hussein, Youssef Ahmed, Justen Kozlowski, and Khurshid Guru Somayeh ShafieiSomayeh Shafiei More articles by this author , Ahmed HusseinAhmed Hussein More articles by this author , Youssef AhmedYoussef Ahmed More articles by this author , Justen KozlowskiJusten Kozlowski More articles by this author , and Khurshid GuruKhurshid Guru More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1614AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Stress increases mental workload leading to reduction in surgical performance and subsequently risking patient safety. Console surgeon and their teams often experience mental stress, yet there is little research about objective measurement of stress levels in the operating room during Robot-assisted Surgery (RAS). In the study, brain activity data are used to differentiate between causes of mental stress of mentor surgeon and the impact of trainee performance during RAS. METHODS EEG data from surgical mentor while observing 87 Urethro-Vesical Anastomoses (UVA) and 74 Pelvic Lymph Node Dissections (PLND) performed by 3 trainees, as well as performing 26 UVA and 26 PLND is recorded. Level and type of mental stress were determined using the power spectral density, during different frequencies, of signals from 20 channel EEG. Performance scores were used to identify the relationship between performance and stress. Stress caused by worry about ability of safe completion were estimated by using the brain activity during upper alpha (11-12 Hz), sensorimotor rhythm (SMR, 12-15 Hz), and low beta (19-22 Hz) bands in the “Cz” channel (area in motor cortex). The activity at the upper beta and gamma was used to estimate stress level and anxiety and fear caused by risk prediction. RESULTS Mentor's brain faces two main types of stresses during RAS. While observing low quality performance by trainee surgeons, the cause of mentor's mental stress is mostly worries about lack of proficiency of trainee surgeon (Type 1). However, stress of mentor while performing surgery or observing a high quality performance by trainee surgeon, is mostly the result of situation awareness and risk prediction on the operative field (Type 2). These two types of stress activate different areas of the brain in specific frequencies. CONCLUSIONS EEG can be used to separate different types of stress experienced during performing and mentoring robot-assisted surgery. A deeper understanding of the difference and effect of these stresses and their outcomes can lead to targeted intervention and quality improvement. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e695 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Somayeh Shafiei More articles by this author Ahmed Hussein More articles by this author Youssef Ahmed More articles by this author Justen Kozlowski More articles by this author Khurshid Guru More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...