Comparative Assessment of Ergonomic Experience with Heads-Up Display and Conventional Surgical Microscope in the Operating Room

Robert J Weinstock,1 Margaret H Ainslie-Garcia,2 Nicole C Ferko,2 Rana A Qadeer,2 Leighton P Morris,3 Hang Cheng,3 Justis P Ehlers4,5 1Eye Institute of West Florida, Largo, FL, USA; 2Eversana, Burlington, ON, Canada; 3Alcon Vision LLC, Fort Worth, TX, USA; 4Tony and Leona Campane Center for Excellen...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Weinstock RJ, Ainslie-Garcia MH, Ferko NC, Qadeer RA, Morris LP, Cheng H, Ehlers JP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	heads-up display microscope ergonomic musculoskeletal disorders ophthalmology surgery Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1832d73401c84ce8ad66a1ccc65473d9
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:1832d73401c84ce8ad66a1ccc65473d9
record_format	dspace
spelling	oai:doaj.org-article:1832d73401c84ce8ad66a1ccc65473d92021-12-02T14:08:53ZComparative Assessment of Ergonomic Experience with Heads-Up Display and Conventional Surgical Microscope in the Operating Room1177-5483https://doaj.org/article/1832d73401c84ce8ad66a1ccc65473d92021-01-01T00:00:00Zhttps://www.dovepress.com/comparative-assessment-of-ergonomic-experience-with-heads-up-display-a-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Robert J Weinstock,1 Margaret H Ainslie-Garcia,2 Nicole C Ferko,2 Rana A Qadeer,2 Leighton P Morris,3 Hang Cheng,3 Justis P Ehlers4,5 1Eye Institute of West Florida, Largo, FL, USA; 2Eversana, Burlington, ON, Canada; 3Alcon Vision LLC, Fort Worth, TX, USA; 4Tony and Leona Campane Center for Excellence in Image-Guided Surgery and Advanced Imaging Research, Cleveland Clinic, Cleveland, OH, USA; 5Vitreoretinal Service, Cole Eye Institute, Cleveland, OH, USACorrespondence: Justis P EhlersCole Eye Institute, 9500 Euclid Ave/I32, Cleveland, OH, USATel +1 216-636-0183Email ehlersj@ccf.orgPurpose: Musculoskeletal pain issues are prevalent in ophthalmic surgeons and can impact surgeon well-being and productivity. Heads-up displays (HUD) can improve upon conventional microscopes by reducing ergonomic stress. This study compared ergonomic outcomes between HUD and a conventional optical microscope in the operating room, as reported by ophthalmic surgeons in the US.Methods: An online questionnaire was distributed to a sample of surgeons who had experience operating with HUD. The questionnaire captured surgeon-specific variables, the validated Nordic Musculoskeletal Questionnaire, and custom questions to compare HUD and conventional microscope. A multivariable model was built to identify variables that were likely to predict improvement in pain-related issues.Results: Analysis was conducted on 64 surgeons (37 posterior-segment, 25 anterior-segment, and two mixed) with a mean 14.9 years of practice and 2.3 years using HUD. Most surgeons agreed or strongly agreed that HUD reduced the severity (64%) and frequency (63%) of pain and discomfort, improved posture (73%), and improved overall comfort (77%). Of respondents who experienced headaches, or pain and discomfort during operation, 12 (44%) reported their headaches improved and 45 (82%) reported feeling less pain and discomfort since they started using HUD. The multivariable model indicated the odds of reporting an improvement in pain since introducing the HUD in the operating room were 5.12-times greater for those who used HUD in > 50% of their cases (P=0.029).Conclusion: This study indicates that heads-up display may be an important tool for wellness in the operating room as it can benefit ophthalmic surgeons across several ergonomic measures.Keywords: heads-up display, microscope, ergonomic, musculoskeletal disorders, ophthalmology, surgeryWeinstock RJAinslie-Garcia MHFerko NCQadeer RAMorris LPCheng HEhlers JPDove Medical Pressarticleheads-up displaymicroscopeergonomicmusculoskeletal disordersophthalmologysurgeryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 347-356 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	heads-up display microscope ergonomic musculoskeletal disorders ophthalmology surgery Ophthalmology RE1-994
spellingShingle	heads-up display microscope ergonomic musculoskeletal disorders ophthalmology surgery Ophthalmology RE1-994 Weinstock RJ Ainslie-Garcia MH Ferko NC Qadeer RA Morris LP Cheng H Ehlers JP Comparative Assessment of Ergonomic Experience with Heads-Up Display and Conventional Surgical Microscope in the Operating Room
description	Robert J Weinstock,1 Margaret H Ainslie-Garcia,2 Nicole C Ferko,2 Rana A Qadeer,2 Leighton P Morris,3 Hang Cheng,3 Justis P Ehlers4,5 1Eye Institute of West Florida, Largo, FL, USA; 2Eversana, Burlington, ON, Canada; 3Alcon Vision LLC, Fort Worth, TX, USA; 4Tony and Leona Campane Center for Excellence in Image-Guided Surgery and Advanced Imaging Research, Cleveland Clinic, Cleveland, OH, USA; 5Vitreoretinal Service, Cole Eye Institute, Cleveland, OH, USACorrespondence: Justis P EhlersCole Eye Institute, 9500 Euclid Ave/I32, Cleveland, OH, USATel +1 216-636-0183Email ehlersj@ccf.orgPurpose: Musculoskeletal pain issues are prevalent in ophthalmic surgeons and can impact surgeon well-being and productivity. Heads-up displays (HUD) can improve upon conventional microscopes by reducing ergonomic stress. This study compared ergonomic outcomes between HUD and a conventional optical microscope in the operating room, as reported by ophthalmic surgeons in the US.Methods: An online questionnaire was distributed to a sample of surgeons who had experience operating with HUD. The questionnaire captured surgeon-specific variables, the validated Nordic Musculoskeletal Questionnaire, and custom questions to compare HUD and conventional microscope. A multivariable model was built to identify variables that were likely to predict improvement in pain-related issues.Results: Analysis was conducted on 64 surgeons (37 posterior-segment, 25 anterior-segment, and two mixed) with a mean 14.9 years of practice and 2.3 years using HUD. Most surgeons agreed or strongly agreed that HUD reduced the severity (64%) and frequency (63%) of pain and discomfort, improved posture (73%), and improved overall comfort (77%). Of respondents who experienced headaches, or pain and discomfort during operation, 12 (44%) reported their headaches improved and 45 (82%) reported feeling less pain and discomfort since they started using HUD. The multivariable model indicated the odds of reporting an improvement in pain since introducing the HUD in the operating room were 5.12-times greater for those who used HUD in > 50% of their cases (P=0.029).Conclusion: This study indicates that heads-up display may be an important tool for wellness in the operating room as it can benefit ophthalmic surgeons across several ergonomic measures.Keywords: heads-up display, microscope, ergonomic, musculoskeletal disorders, ophthalmology, surgery
format	article
author	Weinstock RJ Ainslie-Garcia MH Ferko NC Qadeer RA Morris LP Cheng H Ehlers JP
author_facet	Weinstock RJ Ainslie-Garcia MH Ferko NC Qadeer RA Morris LP Cheng H Ehlers JP
author_sort	Weinstock RJ
title	Comparative Assessment of Ergonomic Experience with Heads-Up Display and Conventional Surgical Microscope in the Operating Room
title_short	Comparative Assessment of Ergonomic Experience with Heads-Up Display and Conventional Surgical Microscope in the Operating Room
title_full	Comparative Assessment of Ergonomic Experience with Heads-Up Display and Conventional Surgical Microscope in the Operating Room
title_fullStr	Comparative Assessment of Ergonomic Experience with Heads-Up Display and Conventional Surgical Microscope in the Operating Room
title_full_unstemmed	Comparative Assessment of Ergonomic Experience with Heads-Up Display and Conventional Surgical Microscope in the Operating Room
title_sort	comparative assessment of ergonomic experience with heads-up display and conventional surgical microscope in the operating room
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/1832d73401c84ce8ad66a1ccc65473d9
work_keys_str_mv	AT weinstockrj comparativeassessmentofergonomicexperiencewithheadsupdisplayandconventionalsurgicalmicroscopeintheoperatingroom AT ainsliegarciamh comparativeassessmentofergonomicexperiencewithheadsupdisplayandconventionalsurgicalmicroscopeintheoperatingroom AT ferkonc comparativeassessmentofergonomicexperiencewithheadsupdisplayandconventionalsurgicalmicroscopeintheoperatingroom AT qadeerra comparativeassessmentofergonomicexperiencewithheadsupdisplayandconventionalsurgicalmicroscopeintheoperatingroom AT morrislp comparativeassessmentofergonomicexperiencewithheadsupdisplayandconventionalsurgicalmicroscopeintheoperatingroom AT chengh comparativeassessmentofergonomicexperiencewithheadsupdisplayandconventionalsurgicalmicroscopeintheoperatingroom AT ehlersjp comparativeassessmentofergonomicexperiencewithheadsupdisplayandconventionalsurgicalmicroscopeintheoperatingroom
_version_	1718391890476269568

Comparative Assessment of Ergonomic Experience with Heads-Up Display and Conventional Surgical Microscope in the Operating Room

Ejemplares similares