SLEEP LOSS AND PERFORMANCE-ANESTHESIA & SURGICAL STAFF

睡眠不足和表现-麻醉

• 批准号: 3429139
• 负责人: J LANCE LICHTOR
• 金额: $ 8.24万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 1990
• 资助国家: 美国
• 起止时间: 1990-07-01 至 1992-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3429139
• 关键词: adult human (21+); anesthesiology; blood pressure; body temperature; circadian rhythms; critical care; emotions; health care personnel performance; heart rate; memory; occupational psychology; physicians; psychomotor function; psychomotor reaction time; psychomotor tracking; psychophysiology; sleep deprivation; surgery

Many interns, residents, and even attending staff who perform acute care services (i.e., trauma/transplant surgery; neonatal, pediatric, adult ICU, anesthesia, or emergency room care) routinely work 24 or more hours continuously. The nonmedical press has attributed a deterioration in acute care services to such long work hours. While it is clear that after some period of time long work hours result in a deterioration of quality of care and are a hazard to both patients and providers, data do not exist to document when such a deterioration of quality of care begins or length of continuous on-duty periods after which simple activities of life, such as driving home, become a hazard to the care provider. Our object is to determine the extent to which psychomotor function has deteriorated in anesthesia and surgical personnel who spend the night on call, to determine when performance deteriorates (specifically 24 hours or 36 hours after call), and to determine any residual effects upon return to duties following a night on call and a night of rest. The effect on psychomotor function of age, number of years after medical school, position in the medical hierarchy (attending, CRNA, or resident), length of time spent on duty or sleeping before starting the call (clinical day beginning at 7:00 a.m. or 4:00 p.m.) and amount of sleep time spent on call, will be examined. We will compare our results with psychomotor function changes after alcohol to allow for more informed calibration when political-social-economic judgments restricting work time are made.

许多实习生、住院医生，甚至执行急诊护理的主治医生 服务(即创伤/移植手术；新生儿、儿科、成人重症监护室、 麻醉或急诊室护理)通常工作24小时或更长时间 一直都在。非医学媒体将病情恶化归因于急性 为这么长的工作时间提供护理服务。虽然很明显，在经历了一些 长时间工作会导致护理质量下降 对患者和提供者都是危险的，数据不存在 记录这种护理质量恶化的开始时间或持续时间 连续的值班期，在此之后，简单的生活活动，如 开车回家，对护理提供者来说是一种危险。 我们的目标是确定精神运动功能的程度 麻醉和外科手术人员的情况都恶化了 调用，以确定性能何时恶化(特别是24小时或 呼叫后36小时)，并确定返回时的任何残余影响 在一晚随叫随到和一晚休息之后的职责。对…的影响 年龄、医学院毕业年限、职位的精神运动功能 在医疗层级(主治医生、CRNA或住院医生)中，时间长度 在开始通话前的值班时间或睡眠时间(临床日开始 上午7：00或下午4：00)以及随叫随到的睡眠时间将是 检查过了。我们将把我们的结果与精神运动功能的变化进行比较 在酒精之后，允许在以下情况下进行更知情的校准 做出了限制工作时间的政治-社会-经济判断。