Meglio il silenzio in sala operatoria: meno infezioni postoperatorie!

interessante ecco perchè con i Deep Purple mi si aprono tutte!!

Chiaccherare, ridere, smadonnare, fischiare, canticchiare, lanciare ferri, ammassare ferri fra archetto e ferita (angolo del criceto) aumentano la frequenza di infezioni superficiali e profonde. Sono dati di Everett (un aiuto di Roy Calne), di quando avrevo i capelli neri.

Sono d'accordo con questo studio. Personalmente amo una sala operatoria il cui staff si parli con gli occhi piuttosto che con la voce. Un'atmosfera di profondo silenzio e concentrazione è la conditio sine qua non per un intervento chirurgico ben condotto, soprattutto durante interventi di microneurochirurgia cerebrale al microscopio operatorio.
https://www.medicitalia.it/brogna.christian/

Una conferma:
Effect of Noise on Auditory Processing in the Operating Room
Abstract presented at the Kentucky Society of Otolaryngology as a resident research project.

T. Justin Way, MD
Affiliations
Department of Otolaryngology-Head and Neck Surgery, University of Kentucky, Lexington, KY
Correspondence address: T Justin Way, MD, Department of Otolaryngology-Head and Neck Surgery, University of Kentucky, 800 Rose St C236, Lexington, KY 40536.
, Ashleigh Long, PhD
Affiliations
Department of Otolaryngology-Head and Neck Surgery, University of Kentucky, Lexington, KY
, Jeff Weihing, PhD, CCC-A
Affiliations
Department of Audiology, University of Louisville, Louisville, KY
, Rosalind Ritchie, MD
Affiliations
Department of Anesthesiology, University of Kentucky, Lexington, KY
, Raleigh Jones, MD
Affiliations
Department of Otolaryngology-Head and Neck Surgery, University of Kentucky, Lexington, KY
, Matthew Bush, MD
Affiliations
Department of Otolaryngology-Head and Neck Surgery, University of Kentucky, Lexington, KY
, Jennifer B. Shinn, PhD, CCC-A, F-AAA
Affiliations
Department of Otolaryngology-Head and Neck Surgery, University of Kentucky, Lexington, KY
Received 12 November 2012; received in revised form 1 January 2013; accepted 3 January 2013. published online 19 March 2013.

Abstract Full Text PDFImages References Background
Effective communication is a critical component of patient care in the operative room (OR). However, the presence of loud equipment, a large number of staff members, and music can contribute to high levels of background noise. In a setting in which crucial tasks are performed continuously, distractions and barriers to communication can result in harm to both patients and OR personnel. The purpose of this investigation was to simulate OR listening conditions and evaluate the effect of operating noise on auditory function.

Study Design
This is a prospective investigation of 15 subjects ranging from 1 to 30 years of operative experience. All surgeons had normal peripheral hearing sensitivity. The surgeons' ability to understand and repeat words were tested using the Speech in Noise Test–Revised in 4 different conditions chosen to simulate typical OR environments. These included quiet, filtered noise through a mask and background noise both with and without music. They were tested in both a tasked and in an untasked situation.

Results
It was found that the impact of noise is considerably greater when the participant is tasked. Surgeons demonstrated substantially poorer auditory performance in music than in quiet or OR noise. Performance in both conditions was poorer when the sentences were low in predictability.

Conclusions
Operating room noise can cause a decrease in auditory processing function, particularly in the presence of music. This becomes even more difficult when the communication involves conversations that carry critical information that is unpredictable. To avoid possible miscommunication in the OR, attempts should be made to reduce ambient noise levels