TY - JOUR
T1 - MP30-10 INTRAOPERATIVE NOISE POLLUTION AND ITS EFFECT UPON COMMUNICATION DURING PERCUTANEOUS NEPHROSTOLITHOTOMY
AU - Myklak, Kristene
AU - Mowery, Hayley
AU - Alsyouf, Muhannad
AU - Li, Roger
AU - Lightfoot, Michelle
AU - Atiga, Chase
AU - Tryon, David
AU - Hodgson, Herbert
AU - Conceicao, Carol
AU - Faaborg, Daniel
AU - Arenas, Javier L.
AU - Khater, Nazih
AU - Ruckle, Herbert C.
AU - Baldwin, D. Daniel
N1 - DISCLOSURES: The American Urological Association (AUA) is committed to maintaining transparency in its relationships. The AUA requires that individuals make full disclosures for themselves, their family and/or business partner of relationships, business transactions, leadership positions, presentations or publications prior to participating in AUA activities. All relevant relationships for the last 12 months should be disclosed.
PY - 2015/4/1
Y1 - 2015/4/1
N2 - INTRODUCTION AND OBJECTIVES: Tools and equipment utilized during endourologic surgery contribute significantly to noise pollution in the operating room (OR) during percutaneous nephrostolithotomy (PCNL). The purpose of this study was to determine OR baseline noise and noise contributed by endourologic equipment during PCNL; then, to determine the effect of this noise upon the effectiveness of communication. METHODS: Ambient noise in the operating room was measured using a digital decibel meter. Noise levels were determined by the sequential addition of normal conversation, highpressure suction, ultrasonic lithotripter, and background music. Three subjectsdthe surgical assistant (0.8m from the surgeon), anesthesiologist (1.8m), and the circulator (2.5m) were placed in the operating room to simulate positioning during PCNL. Five trials of 20 different medical words/phrases were spoken by the surgeon. Trials were performed with three sound categories. The first category included ambient sound alone, the second included ambient sound, suction and lithotryptors, and the third included ambient sound, suction, lithotripsy and loud music. In addition, the OR noise was compared to commonly encountered environmental noise; including cars (n=12) and trucks (n=18) driving 40 mph at 30 ft, and freight trains (n=8) traveling 55 mph at 30 and 45 feet. Statistical analyses were performed using a student t-test. RESULTS: The average baseline noise was 53.49dB(A). As conversation, suction/lithotripsy, and music were added, noise levels were 61.82dB(A), 77.96dB(A), and 87.33dB(A), respectively. At baseline noise, the surgical assistant, anesthesiologist and circulating nurse correctly recorded 100%, 100% and 96% of the words, respectively. The correct response rate by the subjects decreased to 97%(p=0.172), 81%(p
AB - INTRODUCTION AND OBJECTIVES: Tools and equipment utilized during endourologic surgery contribute significantly to noise pollution in the operating room (OR) during percutaneous nephrostolithotomy (PCNL). The purpose of this study was to determine OR baseline noise and noise contributed by endourologic equipment during PCNL; then, to determine the effect of this noise upon the effectiveness of communication. METHODS: Ambient noise in the operating room was measured using a digital decibel meter. Noise levels were determined by the sequential addition of normal conversation, highpressure suction, ultrasonic lithotripter, and background music. Three subjectsdthe surgical assistant (0.8m from the surgeon), anesthesiologist (1.8m), and the circulator (2.5m) were placed in the operating room to simulate positioning during PCNL. Five trials of 20 different medical words/phrases were spoken by the surgeon. Trials were performed with three sound categories. The first category included ambient sound alone, the second included ambient sound, suction and lithotryptors, and the third included ambient sound, suction, lithotripsy and loud music. In addition, the OR noise was compared to commonly encountered environmental noise; including cars (n=12) and trucks (n=18) driving 40 mph at 30 ft, and freight trains (n=8) traveling 55 mph at 30 and 45 feet. Statistical analyses were performed using a student t-test. RESULTS: The average baseline noise was 53.49dB(A). As conversation, suction/lithotripsy, and music were added, noise levels were 61.82dB(A), 77.96dB(A), and 87.33dB(A), respectively. At baseline noise, the surgical assistant, anesthesiologist and circulating nurse correctly recorded 100%, 100% and 96% of the words, respectively. The correct response rate by the subjects decreased to 97%(p=0.172), 81%(p
UR - https://www.auajournals.org/article/S0022-5347(15)00903-9/pdf
UR - http://www.sciencedirect.com/science/article/pii/S0022534715009039#!
UR - https://www.mendeley.com/catalogue/56bb2dc6-9bae-3c01-b7e2-b9f684c62d9b/
U2 - 10.1016/J.JURO.2015.02.592
DO - 10.1016/J.JURO.2015.02.592
M3 - Meeting abstract
VL - 193
JO - The Journal of Urology
JF - The Journal of Urology
IS - 4S
ER -