47 Patient and Physician Positioning During Anterior Skull Base Surgery Impacts Physician Ergonomics

نویسندگان

چکیده

Abstract Aim The effects of anterior skull base surgery on surgeon’s ergonomics remain unclear and this study explore the impact patient, surgeon, screen positioning during surgery. Method A total 20 different surgical positions involving operating assisting patient head position, camera position position/number were simulated. For each ergonomic upper limb, neck, trunk, lower limb surgeons analysed using Rapid Upper Limb Assessment (RULA) tool. Results majority scores ranged from 2 to 3 suggesting have acceptable postures. average RULA score right side surgeon was 2.8 versus 2.95 left-side (p = 0.297). 3.65 3.25 for left 0.053). combined (left right) 5.76 6.9 (p<0.001). Position 17 (operating central two screens) is most ergonomically favourable position. one patient) least Conclusions This simulation raises awareness risk musculoskeletal injury in highlights those certain positional behaviours are better reducing than others.

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ژورنال

عنوان ژورنال: British Journal of Surgery

سال: 2022

ISSN: ['1365-2168', '0007-1323']

DOI: https://doi.org/10.1093/bjs/znac039.023