进行全髋关节置换术的外科医生面临噪声导致听力损失的风险,尤其是在使用自动拉床时。

IF 1.1 4区 医学 Q3 ORTHOPEDICS
Rex W Lutz, Danielle Ponzio, Stephanie A Kwan, Hope S Thalody, Quincy Cheesman, Harrison A Patrizio, Alvin C Ong, Gregory K Deirmengian
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引用次数: 0

摘要

背景:噪声引起的听力损失(NIHL)是骨科医生严重关切的问题。美国国家职业安全与健康研究所(NIOSH)规定,8 小时的安全暴露限值为 85 分贝,但手术室经常超过这一限值。本研究调查了使用自动拉刀系统是否会使骨科医生暴露于危险的分贝(dB)水平:一项前瞻性研究使用 NIOSH 声级计 (SLM) 应用程序和麦克风,分析了一家学术附属私人诊所 92 例全髋关节置换术 (THA) 手术的 138 次术中声音记录和 46 次基线测量结果。手术分为手动和自动拉床。测量的关键指标包括最大分贝电平 (MDL)、峰值声压 (LCpeak)、平均连续声压 (LAeq) 和 8 小时内平均加权声压 (TWA),以及剂量表示法,以确定危险噪声水平:在 92 个 THA 声音记录中,50 个使用手动拉床,42 个使用自动拉床。自动拉床的噪音水平较高,平均 MDL 为 109.92 dBA,LAeq 为 86.09 dBA,TWA 为 76.48 dBA,预计噪音剂量为 137.74%。相比之下,手动拉刀的平均 MDL 为 105.87 dBA,LAeq 为 83.06 dBA,TWA 为 72.82 dBA,预计噪声剂量为 82.02%:本研究强调了骨科医生在进行自动拉刀和手动 THA 手术时所面临的听觉风险。制造商在设计手术工具时应注重降低器械噪音,骨科医生和手术室工作人员应采取措施保护自己在手术过程中免受 NIHL 的影响。[骨科。202x;4x(x):xx-xx]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgeons Who Perform Total Hip Arthroplasty Are at Risk for Noise-Induced Hearing Loss, Especially When Using Automated Broaching.

Background: Noise-induced hearing loss (NIHL) is a serious concern for orthopedic surgeons. The National Institute for Occupational Safety and Health (NIOSH) sets the safe exposure limit at 85 dB for 8 hours, yet operating rooms often surpass this limit. This study investigated if using an automated broaching system exposes orthopedic surgeons to dangerous decibel (dB) levels.

Materials and methods: A prospective study analyzed 138 intraoperative sound recordings from 92 total hip arthroplasty (THA) surgeries and 46 baseline measurements at an academic-affiliated private practice, using the NIOSH Sound Level Meter (SLM) application and a microphone. The surgeries were categorized into manual and automated broaching. Key metrics measured included maximal dB level (MDL), peak sound pressure (LCpeak), average continuous sound (LAeq), and average weighted sound in an 8-hour period (TWA), along with dose representations, to identify hazardous noise levels.

Results: Of the 92 THA sound recordings, 50 used manual broaching and 42 employed automated broaching. Automated broaching exhibited higher noise levels, with an average MDL of 109.92 dBA, a LAeq of 86.09 dBA, a TWA of 76.48 dBA, and a projected noise dose of 137.74%. In contrast, manual broaching exhibited an average MDL of 105.87 dBA, a LAeq of 83.06 dBA, a TWA of 72.82 dBA, and a projected noise dose of 82.02%.

Conclusion: This study highlights the auditory risks from automated broach and manual THA surgeries that orthopedic surgeons experience. Manufacturers should focus on reducing instrument noise when designing surgical tools and orthopedic surgeons and operating room staff should take measures to protect themselves from NIHL during surgery. [Orthopedics. 202x;4x(x):xx-xx.].

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来源期刊
Orthopedics
Orthopedics 医学-整形外科
CiteScore
2.20
自引率
0.00%
发文量
160
审稿时长
3 months
期刊介绍: For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.
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