Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters

Background: This study analysed the psychological and psycho-emotional stress in cardiac surgery. Using heart rate variability (HRV) analysis, it is possible to record intraoperative objective stress responses in surgeons. The aim of the study was to assess with the help of HRV parameters the postul...

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Autores principales:	George Awad, Robert Pohl, Sabine Darius, Beatrice Thielmann, Boris Kuzmin, Ingo Slottosch, Jens Wippermann, Hendrik Schmidt, Maximilian Philipp Scherner, Irina Böckelmann
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	heart rate variability stress responses in surgeons senior surgeons surgery residents Medicine R
Acceso en línea:	https://doaj.org/article/abf880ac4e1e41639d61d5d14fbc9063
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spelling	oai:doaj.org-article:abf880ac4e1e41639d61d5d14fbc90632021-11-25T17:49:46ZEvaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters10.3390/ijerph1822119531660-46011661-7827https://doaj.org/article/abf880ac4e1e41639d61d5d14fbc90632021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11953https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: This study analysed the psychological and psycho-emotional stress in cardiac surgery. Using heart rate variability (HRV) analysis, it is possible to record intraoperative objective stress responses in surgeons. The aim of the study was to assess with the help of HRV parameters the postulated increased stress levels of cardiac surgeons in training compared to experienced senior cardiothoracic surgeons in exactly the same work situation in order to make qualification-differentiated statements about physiological stress during surgical interventions. Methods: During surgical teaching procedures, long-term ECG data (<i>n</i> = 15 each) for two operating residents and their assisting senior physicians were recorded. Time and frequency domain HRV parameters were analysed. Results: The time-related parasympathetic-dominated HRV parameters RMSSD (19.5 ms vs. 28.1 ms), NN50 (297.67 vs. 693.40), and cardiac interval mean RR (692.8 ms vs. 737.3 ms) indicate a higher stress level in the operating residents compared to the experienced surgeons. The higher stress index (11.61 vs. 8.86) confirms this. Conclusion: Compared to experienced surgeons, operating residents showed lower parasympathetic activity and higher stress levels during cardiac surgery training procedures.George AwadRobert PohlSabine DariusBeatrice ThielmannBoris KuzminIngo SlottoschJens WippermannHendrik SchmidtMaximilian Philipp SchernerIrina BöckelmannMDPI AGarticleheart rate variabilitystress responses in surgeonssenior surgeonssurgery residentsMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11953, p 11953 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	heart rate variability stress responses in surgeons senior surgeons surgery residents Medicine R
spellingShingle	heart rate variability stress responses in surgeons senior surgeons surgery residents Medicine R George Awad Robert Pohl Sabine Darius Beatrice Thielmann Boris Kuzmin Ingo Slottosch Jens Wippermann Hendrik Schmidt Maximilian Philipp Scherner Irina Böckelmann Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters
description	Background: This study analysed the psychological and psycho-emotional stress in cardiac surgery. Using heart rate variability (HRV) analysis, it is possible to record intraoperative objective stress responses in surgeons. The aim of the study was to assess with the help of HRV parameters the postulated increased stress levels of cardiac surgeons in training compared to experienced senior cardiothoracic surgeons in exactly the same work situation in order to make qualification-differentiated statements about physiological stress during surgical interventions. Methods: During surgical teaching procedures, long-term ECG data (<i>n</i> = 15 each) for two operating residents and their assisting senior physicians were recorded. Time and frequency domain HRV parameters were analysed. Results: The time-related parasympathetic-dominated HRV parameters RMSSD (19.5 ms vs. 28.1 ms), NN50 (297.67 vs. 693.40), and cardiac interval mean RR (692.8 ms vs. 737.3 ms) indicate a higher stress level in the operating residents compared to the experienced surgeons. The higher stress index (11.61 vs. 8.86) confirms this. Conclusion: Compared to experienced surgeons, operating residents showed lower parasympathetic activity and higher stress levels during cardiac surgery training procedures.
format	article
author	George Awad Robert Pohl Sabine Darius Beatrice Thielmann Boris Kuzmin Ingo Slottosch Jens Wippermann Hendrik Schmidt Maximilian Philipp Scherner Irina Böckelmann
author_facet	George Awad Robert Pohl Sabine Darius Beatrice Thielmann Boris Kuzmin Ingo Slottosch Jens Wippermann Hendrik Schmidt Maximilian Philipp Scherner Irina Böckelmann
author_sort	George Awad
title	Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters
title_short	Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters
title_full	Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters
title_fullStr	Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters
title_full_unstemmed	Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters
title_sort	evaluation of stress levels of trainee cardiac surgery residents during training interventions using physiological stress parameters
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/abf880ac4e1e41639d61d5d14fbc9063
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Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters

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