Noise in Otolaryngology – Head and Neck Surgery operating rooms: a systematic review
Abstract Objective Noise in operating rooms (OR) can have negative effects on both patients and surgical care workers. Noise can also impact surgical performance, team communication, and patient outcomes. Such implications of noise have been studied in orthopedics, neurosurgery, and urology. High no...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-02-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | https://doi.org/10.1186/s40463-020-00487-6 |
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| author | Gianluca Sampieri Amirpouyan Namavarian Marc Levin Justine Philteos Jong Wook Lee Anni Koskinen Vincent Lin John Lee |
| author_facet | Gianluca Sampieri Amirpouyan Namavarian Marc Levin Justine Philteos Jong Wook Lee Anni Koskinen Vincent Lin John Lee |
| author_sort | Gianluca Sampieri |
| collection | DOAJ |
| description | Abstract Objective Noise in operating rooms (OR) can have negative effects on both patients and surgical care workers. Noise can also impact surgical performance, team communication, and patient outcomes. Such implications of noise have been studied in orthopedics, neurosurgery, and urology. High noise levels have also been demonstrated in Otolaryngology-Head and Neck Surgery (OHNS) procedures. Despite this, no previous study has amalgamated the data on noise across all OHNS ORs to determine how much noise is present during OHNS surgeries. This study aims to review all the literature on noise associated with OHNS ORs and procedures. Methods Ovid Medline, EMBASE Classic, Pubmed, SCOPUS and Cochrane databases were searched following PRISMA guidelines. Data was collected on noise measurement location and surgery type. Descriptive results and statistical analysis were completed using Stata. Results This search identified 2914 articles. Final inclusion consisted of 22 studies. The majority of articles analyzed noise level exposures during mastoid surgery (18/22, 82%). The maximum noise level across all OHNS ORs and OHNS cadaver studies were 95.5 a-weighted decibels (dBA) and 106.6 c-weighted decibels (dBC), respectively (P = 0.2068). The mean noise level across all studies was significantly higher in OHNS cadaver labs (96.9 dBA) compared to OHNS ORs (70.1 dBA) (P = 0.0038). When analyzed together, the mean noise levels were 84.9 dBA. Conclusions This systematic review demonstrates that noise exposure in OHNS surgery exceeds safety thresholds. Further research is needed to understand how noise may affect team communication, surgical performance and patient outcomes in OHNS ORs. Graphical abstract |
| format | Article |
| id | doaj-art-f15c66e80b7c4ffc8e443359993ba3a6 |
| institution | DOAJ |
| issn | 1916-0216 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-f15c66e80b7c4ffc8e443359993ba3a62025-08-20T03:20:47ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162021-02-0150111010.1186/s40463-020-00487-6Noise in Otolaryngology – Head and Neck Surgery operating rooms: a systematic reviewGianluca Sampieri0Amirpouyan Namavarian1Marc Levin2Justine Philteos3Jong Wook Lee4Anni Koskinen5Vincent Lin6John Lee7Faculty of Medicine, University of TorontoFaculty of Medicine, University of TorontoDepartment of Otolaryngology Head and Neck Surgery, University of TorontoDepartment of Otolaryngology Head and Neck Surgery, University of TorontoDepartment of Otolaryngology Head and Neck Surgery, University of TorontoDepartment of Otorhinolaryngology, University of Helsinki and Helsinki University HospitalDepartment of Otolaryngology Head and Neck Surgery, University of TorontoDepartment of Otolaryngology Head and Neck Surgery, University of TorontoAbstract Objective Noise in operating rooms (OR) can have negative effects on both patients and surgical care workers. Noise can also impact surgical performance, team communication, and patient outcomes. Such implications of noise have been studied in orthopedics, neurosurgery, and urology. High noise levels have also been demonstrated in Otolaryngology-Head and Neck Surgery (OHNS) procedures. Despite this, no previous study has amalgamated the data on noise across all OHNS ORs to determine how much noise is present during OHNS surgeries. This study aims to review all the literature on noise associated with OHNS ORs and procedures. Methods Ovid Medline, EMBASE Classic, Pubmed, SCOPUS and Cochrane databases were searched following PRISMA guidelines. Data was collected on noise measurement location and surgery type. Descriptive results and statistical analysis were completed using Stata. Results This search identified 2914 articles. Final inclusion consisted of 22 studies. The majority of articles analyzed noise level exposures during mastoid surgery (18/22, 82%). The maximum noise level across all OHNS ORs and OHNS cadaver studies were 95.5 a-weighted decibels (dBA) and 106.6 c-weighted decibels (dBC), respectively (P = 0.2068). The mean noise level across all studies was significantly higher in OHNS cadaver labs (96.9 dBA) compared to OHNS ORs (70.1 dBA) (P = 0.0038). When analyzed together, the mean noise levels were 84.9 dBA. Conclusions This systematic review demonstrates that noise exposure in OHNS surgery exceeds safety thresholds. Further research is needed to understand how noise may affect team communication, surgical performance and patient outcomes in OHNS ORs. Graphical abstracthttps://doi.org/10.1186/s40463-020-00487-6Surgical safetyOperating room communicationNoise in the operating room |
| spellingShingle | Gianluca Sampieri Amirpouyan Namavarian Marc Levin Justine Philteos Jong Wook Lee Anni Koskinen Vincent Lin John Lee Noise in Otolaryngology – Head and Neck Surgery operating rooms: a systematic review Journal of Otolaryngology - Head and Neck Surgery Surgical safety Operating room communication Noise in the operating room |
| title | Noise in Otolaryngology – Head and Neck Surgery operating rooms: a systematic review |
| title_full | Noise in Otolaryngology – Head and Neck Surgery operating rooms: a systematic review |
| title_fullStr | Noise in Otolaryngology – Head and Neck Surgery operating rooms: a systematic review |
| title_full_unstemmed | Noise in Otolaryngology – Head and Neck Surgery operating rooms: a systematic review |
| title_short | Noise in Otolaryngology – Head and Neck Surgery operating rooms: a systematic review |
| title_sort | noise in otolaryngology head and neck surgery operating rooms a systematic review |
| topic | Surgical safety Operating room communication Noise in the operating room |
| url | https://doi.org/10.1186/s40463-020-00487-6 |
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