Influência do tempo operatório e complicações intraoperatórias na resposta cognitiva do cirurgião
Ano de defesa: | 2018 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de São Paulo (UNIFESP)
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Programa de Pós-Graduação: |
Não Informado pela instituição
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Departamento: |
Não Informado pela instituição
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País: |
Não Informado pela instituição
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Palavras-chave em Português: | |
Link de acesso: | https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=6517843 https://repositorio.unifesp.br/handle/11600/52437 |
Resumo: | Introduction: Surgeon’s performance may be influenced by several factors that may affect skills and judgement, which ultimately represents surgeon´s cognition. This study aims to evaluate the effect of operative time and operative complications on surgeon´s cognition. Methods: Fortysix surgeons (mean age 31 years, 78% males) assigned to an operation expected to last for at least 2 hours, volunteered for the study. All participants underwent 3 cognitive tests at the beginning of the operation and hourly, until the end of the procedure: (a) concentration (serial sevens, counting down from 100 by sevens); (b) visual (fast counting, counting the number of circles with the same color among a series of circles); and (c) motor (trail making, connecting a set of numbered dots). Intraoperative complications – defined as bleeding, organ injury or hemodynamic instability were recorded. Results: The visual test had a stable behavior along time. Concentration and motor tests tended to be performed faster. Intraoperative complications occurred in 5 (11%) cases (3 hemorrhage and 2 organ injuries). Performance time was stable for concentration and motor tests but visual test tended to be performed faster in cases with an intraoperative complication. Conclusion: Our results showed that: (1) time does not jeopardize surgeon´s cognition, but rather surgeons learned to perform the tests faster; and (2) complications do not decrease surgeon´s cognition. |