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TITLE: "HOW TO BE A SURGEON AND NOT DYING TRYING"
CONTROL OF BASIC PHYSIOLOGICAL PARAMETERS IN PERIOPERATIVE
PHASE, IN SURGEONS FROM PUNTA DEL ESTE, URUGUAY. DESCRIPTIVE
TYPE OF PRESENTATION: Investigation Forum
INSTITUTION 1: SANATORIO CANTEGRIL DE PUNTA DEL ESTE,
ASISTENCIAL MEDICA DE MALDONADO.
AUTHOR and COAUTHORS: Dr. Juan M. Sanguinetti,Dr. Edgar J. Figueredo,
Dr. Manuel Sanguinetti, Br. Mario Teixeira, , Dr. Gustavo Burghi
INSTITUTION 2: FACULTAD DE MEDICINA CLAEH , PUNTA DEL ESTE.
CO-AUTHORS: Br. Claudia Lorenti, Dr. Alfredo Scelza.
AUTHOR CONTACT INFORMATION:
DOMICILE: 18 de julio 1065 ap 601
ZIP CODE: 20000
CITY: Maldonado Uruguay
SUMMARY OF THE PRESENTATION:
BACKGROUND: There is a sense by the surgical community that the
surgeon career and surgery itself is an unhealthy work or at least it
creates stress and disturbances in the quality of life of surgeons. But there
has been little study of the subject not only in our Country but also in the
region and throughout the world. There is interest in studying the
biological factors altered during the surgical procedure, which is novel in
our field, in the region and has limited literature at international level.
OBJETIVE: Assessment of changes in basic physiological parameters, blood
pressure and heart rate of surgeons during a coordinated surgery.
MATERIAL AND METHOD: N: 15 general surgeons. A short survey and
measurement table was carried out; surgeons from Punta del Este,
Uruguay, were studied. Main study variables: heart rate and blood
pressure. A Timex frequency band and sensor was used, placing the sensor
within the 15 preoperative minutes, was used to mesure the heart
rate(HR). Second main variable: blood pressure (BP) with manual
measurement sleeve. Preoperative BP and immediate postoperative BP
were measured, we were not able to measure intraoperative BP due to the
lack of consent of the surgeons involved for the use of other devices
different from the heart rate band. Secondary variables: years from
graduation, years of practice, age, body mass index (BMI), number of
medical co-morbidities, number of jobs, sleeping hours the night before.
We took measurements to surgeons during a laparoscopic
RESULTS: The mean preoperative heart rate was 77.8 bpm. The mean
minimum intraoperative heart rate was 86 bpm. The mean maximum
intraoperative heart rate was 115.2 bpm (86% with tachycardia at the
surgery). The mean immediate postoperative heart rate was 89.5 cpm. The
mean heart rate 15 minutes after the postoperative phase was 80.1 cpm.
At the immediate preoperative phase 53% of surgeons had elevated BP
level (usual normotensives). At the immediate postoperative phase 73% of
surgeons had elevated BP level. One of the surgeons had to be treated in
the emergency room since he had up to 250 mmhg in his systolic bp.
CONCLUSIONS: According to our study, the small number of subjects in the
study were affected adversely when vital signs were measured. Only one
subject whom exercises regularly didn't present abnormal values. We
concluded that indeed our surgical job is an stressful event and it affected
all of the subjects except the healthiest one.