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Failed Attempt to Recommend Noise Cancelling Headphones for Knee Arthroplasty Surgeons—Results of a Pilot Study

Background and Objectives: Noise exposure during total knee arthroplasty (TKA) has been demonstrated to exceed thresholds that are deemed as over-exposure by industry noise level standards. With orthopedic surgeons being at risk of suffering from Noise Induced Hearing Loss, the purpose of this pilot...

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Autores principales: Stadler, Christian, Luger, Matthias, Schauer, Bernhard, Stevoska, Stella, Gotterbarm, Tobias, Klasan, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9965943/
https://www.ncbi.nlm.nih.gov/pubmed/36837521
http://dx.doi.org/10.3390/medicina59020320
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author Stadler, Christian
Luger, Matthias
Schauer, Bernhard
Stevoska, Stella
Gotterbarm, Tobias
Klasan, Antonio
author_facet Stadler, Christian
Luger, Matthias
Schauer, Bernhard
Stevoska, Stella
Gotterbarm, Tobias
Klasan, Antonio
author_sort Stadler, Christian
collection PubMed
description Background and Objectives: Noise exposure during total knee arthroplasty (TKA) has been demonstrated to exceed thresholds that are deemed as over-exposure by industry noise level standards. With orthopedic surgeons being at risk of suffering from Noise Induced Hearing Loss, the purpose of this pilot study was to evaluate the viability of the use of industry grade active noise cancelling headphones (ANCH) during TKA. Material and Methods: In this prospective pilot study, 10 TKA were performed. In five of these cases, surgeon, assistant, scrub nurse and anesthetist wore ANCH with automatic noise level dependent noise attenuation above 82 dB. A validated 14-item questionnaire was used after each case to evaluate the quality of communication, performance, teamwork and mental load. In seven cases a calibrated sound level meter was used to measure the operating theatre noise. Peak sound level (LApeak), A-weighted continuous sound level (LAeq) and A-weighted noise exposure averaged for an 8-h time-period (LEPd) were calculated. Results: There was no perceived benefit of ANCH for the surgeons (p = 0.648), assistants (p = 0.908) and scrub nurses (p = 0.251). There was an overall improvement observed by anesthetists (p = 0.001). A worse communication while wearing ANCH was reported by surgeons but not by the rest of the team. Average LApeak was 90.6 ± 3.2 dB(C), LAeq was 61.9 ± 1.0 dB(A) and LEPd was 53.2 ± 1.2 dB(A). Conclusions: Industry grade ANCH seem to provide no benefit for surgeons, assistants and scrub nurses during TKA, while anesthesiologists seem to benefit from the use of ANCH during TKA. Due to the limitations of this pilot study, further studies with larger study populations are necessary to adequately investigate the use of ANCH during TKA.
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spelling pubmed-99659432023-02-26 Failed Attempt to Recommend Noise Cancelling Headphones for Knee Arthroplasty Surgeons—Results of a Pilot Study Stadler, Christian Luger, Matthias Schauer, Bernhard Stevoska, Stella Gotterbarm, Tobias Klasan, Antonio Medicina (Kaunas) Article Background and Objectives: Noise exposure during total knee arthroplasty (TKA) has been demonstrated to exceed thresholds that are deemed as over-exposure by industry noise level standards. With orthopedic surgeons being at risk of suffering from Noise Induced Hearing Loss, the purpose of this pilot study was to evaluate the viability of the use of industry grade active noise cancelling headphones (ANCH) during TKA. Material and Methods: In this prospective pilot study, 10 TKA were performed. In five of these cases, surgeon, assistant, scrub nurse and anesthetist wore ANCH with automatic noise level dependent noise attenuation above 82 dB. A validated 14-item questionnaire was used after each case to evaluate the quality of communication, performance, teamwork and mental load. In seven cases a calibrated sound level meter was used to measure the operating theatre noise. Peak sound level (LApeak), A-weighted continuous sound level (LAeq) and A-weighted noise exposure averaged for an 8-h time-period (LEPd) were calculated. Results: There was no perceived benefit of ANCH for the surgeons (p = 0.648), assistants (p = 0.908) and scrub nurses (p = 0.251). There was an overall improvement observed by anesthetists (p = 0.001). A worse communication while wearing ANCH was reported by surgeons but not by the rest of the team. Average LApeak was 90.6 ± 3.2 dB(C), LAeq was 61.9 ± 1.0 dB(A) and LEPd was 53.2 ± 1.2 dB(A). Conclusions: Industry grade ANCH seem to provide no benefit for surgeons, assistants and scrub nurses during TKA, while anesthesiologists seem to benefit from the use of ANCH during TKA. Due to the limitations of this pilot study, further studies with larger study populations are necessary to adequately investigate the use of ANCH during TKA. MDPI 2023-02-09 /pmc/articles/PMC9965943/ /pubmed/36837521 http://dx.doi.org/10.3390/medicina59020320 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Stadler, Christian
Luger, Matthias
Schauer, Bernhard
Stevoska, Stella
Gotterbarm, Tobias
Klasan, Antonio
Failed Attempt to Recommend Noise Cancelling Headphones for Knee Arthroplasty Surgeons—Results of a Pilot Study
title Failed Attempt to Recommend Noise Cancelling Headphones for Knee Arthroplasty Surgeons—Results of a Pilot Study
title_full Failed Attempt to Recommend Noise Cancelling Headphones for Knee Arthroplasty Surgeons—Results of a Pilot Study
title_fullStr Failed Attempt to Recommend Noise Cancelling Headphones for Knee Arthroplasty Surgeons—Results of a Pilot Study
title_full_unstemmed Failed Attempt to Recommend Noise Cancelling Headphones for Knee Arthroplasty Surgeons—Results of a Pilot Study
title_short Failed Attempt to Recommend Noise Cancelling Headphones for Knee Arthroplasty Surgeons—Results of a Pilot Study
title_sort failed attempt to recommend noise cancelling headphones for knee arthroplasty surgeons—results of a pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9965943/
https://www.ncbi.nlm.nih.gov/pubmed/36837521
http://dx.doi.org/10.3390/medicina59020320
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