Vitreoretinal surgical performance after acute alcohol consumption and hangover

IF 3.7 2区医学 Q1 OPHTHALMOLOGY

British Journal of Ophthalmology Pub Date : 2024-07-31 DOI:10.1136/bjo-2023-324044

Marina Roizenblatt, Peter Louis Gehlbach, Vitor Dias Gomes Barrios Marin, Arnaldo Roizenblatt, Thiago Marques Fidalgo, Vinicius Silveira Saraiva, Mauricio Hiroshi Nakanami, Luciana Cruz Noia, Sung Watanabe, Erika Sayuri Yasaki, Renato Magalhães Passos, Octaviano Magalhães Junior, Rodrigo Antonio Brant Fernandes, Francisco Rosa Stefanini, Rafael Caiado, Kim Jiramongkolchai, Michel Eid Farah, Rubens Belfort Junior, Mauricio Maia

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引用次数: 0

Abstract

Aim Routine alcohol testing of practicing physicians remains controversial since there are no uniform guidelines or legal regulations in the medical field. Our aim was to quantitatively study the acute and next-morning effects of breath alcohol concentration (BAC)-adjusted alcohol intake on overall simulated surgical performance and microtremor among senior vitreoretinal surgeons. Methods This prospective cohort study included 11 vitreoretinal surgeons (>10 years practice). Surgical performance was first assessed using the Eyesi surgical simulator following same-day alcohol consumption producing a BAC reading of 0.06%–0.10% (low-dose), followed by 0.11%–0.15% (high-dose). Dexterity was then evaluated after a ‘night out’ producing a high-dose BAC combined with a night’s sleep. Changes in the total score (0–700, worst-best) and tremor (0–100, best-worst) were measured. Results Surgeon performance declined after high-dose alcohol compared with low-dose alcohol (−8.60±10.77 vs −1.21±7.71, p=0.04, respectively). The performance during hangover was similar to low-dose alcohol (−1.76±14.47 vs −1.21±7.71, p=1.00, respectively). The performance during hangover tended to be better than after high-dose alcohol (−1.76±14.47 vs −8.60±10.77, p=0.09, respectively). Tremor increased during hangover compared with low-dose alcohol (7.33±21.65 vs −10.31±10.73, p=0.03, respectively). A trend toward greater tremor during hangover occurred compared with high-dose alcohol (7.33±21.65 vs −4.12±17.17, p=0.08, respectively). Conclusion Alcohol-related decline in simulated surgical dexterity among senior vitreoretinal surgeons was dose-dependent. Dexterity improved the following morning but remained comparable to after low-dose alcohol ingestion. Tremor increased during hangover compared with same-day intoxication. Further studies are needed to investigate extrapolations of these data to a real surgical environment regarding patient safety and surgeon performance. Data are available upon reasonable request. All data relevant to the study are included in the article or uploaded as supplementary information.

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急性饮酒和宿醉后的玻璃体视网膜手术表现

目的由于医疗领域没有统一的指导方针或法律规定，因此对执业医师进行常规酒精测试仍存在争议。我们的目的是定量研究经呼吸酒精浓度（BAC）调整后的酒精摄入量对高级玻璃体视网膜外科医生整体模拟手术表现和微震的急性和次晨影响。方法这项前瞻性队列研究包括 11 名玻璃体视网膜外科医生（从业时间超过 10 年）。首先使用 Eyesi 手术模拟器评估当天饮酒后的手术表现，酒精浓度读数为 0.06%-0.10%（低剂量），然后是 0.11%-0.15%（高剂量）。然后，在 "夜游 "产生高浓度 BAC 后，再加上一夜睡眠，对灵活性进行了评估。对总分（0-700，最差-最佳）和震颤（0-100，最佳-最差）的变化进行了测量。结果与小剂量酒精相比，外科医生在大剂量酒精后的表现有所下降（分别为-8.60±10.77 vs -1.21±7.71, p=0.04）。宿醉时的表现与低剂量酒精相似（分别为-1.76±14.47 vs -1.21±7.71, p=1.00）。宿醉时的表现往往优于大剂量饮酒后（分别为-1.76±14.47 vs -8.60±10.77，p=0.09）。与低剂量酒精相比，宿醉时震颤增加（分别为 7.33±21.65 vs -10.31±10.73，p=0.03）。与大剂量酒精相比，宿醉时震颤有加重趋势（分别为 7.33±21.65 vs -4.12±17.17，p=0.08）。结论高级玻璃体视网膜外科医生模拟手术灵活性的下降与酒精剂量有关。第二天早上，灵活性有所改善，但仍与摄入低剂量酒精后相似。与当天醉酒相比，宿醉时震颤增加。还需要进一步研究将这些数据推广到真实的手术环境中，以确保患者安全和外科医生的工作表现。如有合理要求，可提供相关数据。与研究相关的所有数据均包含在文章中或作为补充信息上传。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Ophthalmology 医学-眼科学

CiteScore

10.30

自引率

2.40%

发文量

213

审稿时长

3-6 weeks

期刊介绍： The British Journal of Ophthalmology (BJO) is an international peer-reviewed journal for ophthalmologists and visual science specialists. BJO publishes clinical investigations, clinical observations, and clinically relevant laboratory investigations related to ophthalmology. It also provides major reviews and also publishes manuscripts covering regional issues in a global context.