Roy Phitayakorn1, Rebecca D Minehart2, Maureen W Hemingway3, May C M Pian-Smith2, Emil Petrusa4. 1. Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA; MGH Learning Laboratory, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA. Electronic address: rphitayakorn@mgh.harvard.edu. 2. MGH Learning Laboratory, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA; Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA. 3. MGH Learning Laboratory, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA; Department of Perioperative Services, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA. 4. Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA; MGH Learning Laboratory, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA.
Abstract
BACKGROUND: Emotional stability is important for individual and team performance during operating room (OR) emergencies. We compared physiologic and psychological anxiety assessments in OR teams during simulated events. METHODS: Twenty-two teams participated in a "cannot intubate/cannot ventilate" simulation. Participants completed the State-Trait Anxiety Inventory and wore a galvanic skin response (GSR) sensor. Differences in State-Trait Anxiety Inventory scores and GSR levels were analyzed. Anxiety scores were correlated with GSR levels. RESULTS: Resident physicians had significantly higher trait anxiety than the nurses, certified registered nurse anesthetists, and surgical technicians (43.9 ± 9.9 vs 38.3 ± 9.3, P < .01). Senior practitioners had significantly higher trait anxiety than junior practitioners (43.7 ± 9.6 vs 40.0 ± 9.9, P = .03). All groups showed significant increases in GSR. Psychological and physiologic data did not correlate. CONCLUSIONS: Senior practitioners and residents have higher levels of baseline trait anxiety for unclear reasons. Also, OR team training results in physiological signs of anxiety that do not correlate to self-reported psychological measurements.
BACKGROUND: Emotional stability is important for individual and team performance during operating room (OR) emergencies. We compared physiologic and psychological anxiety assessments in OR teams during simulated events. METHODS: Twenty-two teams participated in a "cannot intubate/cannot ventilate" simulation. Participants completed the State-Trait Anxiety Inventory and wore a galvanic skin response (GSR) sensor. Differences in State-Trait Anxiety Inventory scores and GSR levels were analyzed. Anxiety scores were correlated with GSR levels. RESULTS: Resident physicians had significantly higher trait anxiety than the nurses, certified registered nurse anesthetists, and surgical technicians (43.9 ± 9.9 vs 38.3 ± 9.3, P < .01). Senior practitioners had significantly higher trait anxiety than junior practitioners (43.7 ± 9.6 vs 40.0 ± 9.9, P = .03). All groups showed significant increases in GSR. Psychological and physiologic data did not correlate. CONCLUSIONS: Senior practitioners and residents have higher levels of baseline trait anxiety for unclear reasons. Also, OR team training results in physiological signs of anxiety that do not correlate to self-reported psychological measurements.
Authors: Osian P James; David B T Robinson; Luke Hopkins; Chris Bowman; Arfon G M T Powell; Chris Brown; Damian M Bailey; Richard J Egan; Wyn G Lewis Journal: BMJ Simul Technol Enhanc Learn Date: 2020-08-13
Authors: Anna Valenzano; Fiorenzo Moscatelli; Antonietta Messina; Vincenzo Monda; Raffaele Orsitto; Giovanna Zezza; Giovanni Fiorentino; Monica Salerno; Antonio I Triggiani; Andrea Viggiano; Maria P Mollica; Marco Carotenuto; Marcellino Monda; Giuseppe Cibelli; Giovanni Messina Journal: Front Physiol Date: 2018-05-07 Impact factor: 4.566