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

Author

Listed:
  • George Awad

    (Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany)

  • Robert Pohl

    (Department of Occupational Medicine, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany)

  • Sabine Darius

    (Department of Occupational Medicine, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany)

  • Beatrice Thielmann

    (Department of Occupational Medicine, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany)

  • Boris Kuzmin

    (Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany)

  • Ingo Slottosch

    (Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany)

  • Jens Wippermann

    (Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany)

  • Hendrik Schmidt

    (Clinic for Cardiology and Diabetology, Magdeburg Clinic, Birkenallee 34, 39130 Magdeburg, Germany
    University Clinic for Internal Medicine III, Martin Luther University Halle-Wittenberg, Ernst-Grube-Straße 40, 06120 Halle, Germany)

  • Maximilian Philipp Scherner

    (Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany)

  • Irina Böckelmann

    (Department of Occupational Medicine, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany)

Abstract

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 ( n = 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.

Suggested Citation

  • George Awad & Robert Pohl & Sabine Darius & Beatrice Thielmann & Boris Kuzmin & Ingo Slottosch & Jens Wippermann & Hendrik Schmidt & Maximilian Philipp Scherner & Irina Böckelmann, 2021. "Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters," IJERPH, MDPI, vol. 18(22), pages 1-10, November.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11953-:d:678850
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