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. 2022 May 11;17(1):112.
doi: 10.1186/s13019-022-01873-z.

Activation of the stress response among the cardiac surgical residents: comparison of teaching procedures and other (daily) medical activities

George Awad  1 , Robert Pohl  2 , Sabine Darius  2 , Beatrice Thielmann  2 , Sam Varghese  3 , Max Wacker  3 , Hendrik Schmidt  4   5 , Jens Wippermann  3 , Maximilian Scherner #  3 , Irina Böckelmann #  2
Affiliations

Activation of the stress response among the cardiac surgical residents: comparison of teaching procedures and other (daily) medical activities

George Awad et al. J Cardiothorac Surg. .

Abstract

Background: The aim of this Pilot study was to investigate the cardiac surgical residents' workload during different surgical teaching interventions and to compare their stress levels with other working time spent in the intensive care unit or normal ward.

Methods: The objective stress was assessed using two cardiac surgical residents' heart rate variability (HRV) both during surgical activities (32 selected teaching operations (coronary artery bypass graft n = 26 and transcatheter aortic valve implantation n = 6), and during non-surgical periods. Heart rate, time and frequency domains as well as non-linear parameters were analyzed using the Wilcoxon test.

Results: The parasympathetic activity was significantly reduced during the surgical phase, compared to the non-surgical phase: Mean RR (675.7 ms vs. 777.3 ms), RMSSD (23.1 ms vs. 34.0 ms) and pNN50 (4.7% vs. 10.6%). This indicates that the residents had a higher stress level during surgical activities in comparison to the non-surgical times. The evaluation of the Stress Index during the operations and outside the operating room (8.07 vs. 10.6) and the parasympathetic nervous system index (- 1.75 to - 0.91) as well as the sympathetic nervous system index (1.84 vs. 0.65) confirm the higher stress level during surgery. This can be seen too used the FFT Analysis with higher intraoperative LF/HF ratio (6.7 vs. 3.8).

Conclusion: HRV proved to be a good, objective method of identifying stress among physicians both in and outside the operating room. Our results show that residents are exposed to high psychological workloads during surgical activities, especially as the operating surgeon.

Keywords: Cardiac surgery; Education; Heart rate variability; Stress; Workload.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Overview of the options for HRV analyses
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