Persistent Next-Day Effects of Excessive Alcohol Consumption on Laparoscopic Surgical Performance

Anthony G. Gallagher; Emily Boyle; Paul Toner; Paul C. Neary; Dana K. Andersen; Richard M. Satava; Neal E. Seymour

Persistent Next-Day Effects of Excessive Alcohol Consumption on Laparoscopic Surgical Performance

Anthony G. Gallagher, Emily Boyle, Paul Toner, Paul C. Neary, Dana K. Andersen, Richard M. Satava, Neal E. Seymour

Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: To examine the effect of previous-day excessive alcohol consumption on laparoscopic surgical performance.

Design: Study 1 was a randomized controlled trial. Study 2 was a cohort study.

Setting: Surgical skills laboratory.

Participants: Sixteen science students (laparoscopic novices) participated in study 1. Eight laparoscopic experts participated in study 2.

Interventions: All participants were trained on the Minimally Invasive Surgical Trainer Virtual Reality (MIST-VR). The participants in study 1 were randomized to either abstain from alcohol or consume alcohol until intoxicated. All study 2 subjects freely consumed alcohol until intoxicated. Subjects were assessed the following day at 9 AM, 1 PM, and 4 PM on MIST-VR tasks.

Main Outcome Measures: Assessment measures included time, economy of diathermy use, and error scores.

Results: In study 1, both groups performed similarly at baseline, but the alcohol group showed deterioration on all performance measures after alcohol consumption. Overall, although the time score differences between the 2 groups were not statistically significant (P=.29), there was a significant difference between the 2 groups' diathermy (P <.03) anderror (P <.003) scores. There was also a significant effect for time of testing (P <.003), diathermy (P <.001), and errors (P <.001). In study 2, experts demonstrated a similar postalcohol performance decrement for time (P <.02), diathermy (P <.001), and error scores (P <.001).

Conclusion: Excessive consumption of alcohol appeared to degrade surgical performance the following day even at 4 PM, suggesting the need to define recommendations regarding alcohol consumption the night before assuming clinical surgical responsibilities.

Original language	English
Pages (from-to)	419-426
Number of pages	8
Journal	JAMA Surgery
Volume	146
Issue number	4
Publication status	Published - Apr 2011

Keywords

VIRTUAL-REALITY
HANGOVER
SKILLS
CHOLECYSTECTOMY
IMPAIRMENT
INGESTION
DRINKING
DOCTORS
NIGHT

Cite this

@article{18d9fe249a9e4f22ad0f5f701b1b7ac2,

title = "Persistent Next-Day Effects of Excessive Alcohol Consumption on Laparoscopic Surgical Performance",

abstract = "Objective: To examine the effect of previous-day excessive alcohol consumption on laparoscopic surgical performance.Design: Study 1 was a randomized controlled trial. Study 2 was a cohort study.Setting: Surgical skills laboratory.Participants: Sixteen science students (laparoscopic novices) participated in study 1. Eight laparoscopic experts participated in study 2.Interventions: All participants were trained on the Minimally Invasive Surgical Trainer Virtual Reality (MIST-VR). The participants in study 1 were randomized to either abstain from alcohol or consume alcohol until intoxicated. All study 2 subjects freely consumed alcohol until intoxicated. Subjects were assessed the following day at 9 AM, 1 PM, and 4 PM on MIST-VR tasks.Main Outcome Measures: Assessment measures included time, economy of diathermy use, and error scores.Results: In study 1, both groups performed similarly at baseline, but the alcohol group showed deterioration on all performance measures after alcohol consumption. Overall, although the time score differences between the 2 groups were not statistically significant (P=.29), there was a significant difference between the 2 groups' diathermy (P <.03) anderror (P <.003) scores. There was also a significant effect for time of testing (P <.003), diathermy (P <.001), and errors (P <.001). In study 2, experts demonstrated a similar postalcohol performance decrement for time (P <.02), diathermy (P <.001), and error scores (P <.001).Conclusion: Excessive consumption of alcohol appeared to degrade surgical performance the following day even at 4 PM, suggesting the need to define recommendations regarding alcohol consumption the night before assuming clinical surgical responsibilities.",

keywords = "VIRTUAL-REALITY, HANGOVER, SKILLS, CHOLECYSTECTOMY, IMPAIRMENT, INGESTION, DRINKING, DOCTORS, NIGHT",

author = "Gallagher, {Anthony G.} and Emily Boyle and Paul Toner and Neary, {Paul C.} and Andersen, {Dana K.} and Satava, {Richard M.} and Seymour, {Neal E.}",

year = "2011",

month = apr,

language = "English",

volume = "146",

pages = "419--426",

journal = "JAMA Surgery",

issn = "2168-6262",

publisher = "American Medical Association",

number = "4",

}

TY - JOUR

T1 - Persistent Next-Day Effects of Excessive Alcohol Consumption on Laparoscopic Surgical Performance

AU - Gallagher, Anthony G.

AU - Boyle, Emily

AU - Toner, Paul

AU - Neary, Paul C.

AU - Andersen, Dana K.

AU - Satava, Richard M.

AU - Seymour, Neal E.

PY - 2011/4

Y1 - 2011/4

N2 - Objective: To examine the effect of previous-day excessive alcohol consumption on laparoscopic surgical performance.Design: Study 1 was a randomized controlled trial. Study 2 was a cohort study.Setting: Surgical skills laboratory.Participants: Sixteen science students (laparoscopic novices) participated in study 1. Eight laparoscopic experts participated in study 2.Interventions: All participants were trained on the Minimally Invasive Surgical Trainer Virtual Reality (MIST-VR). The participants in study 1 were randomized to either abstain from alcohol or consume alcohol until intoxicated. All study 2 subjects freely consumed alcohol until intoxicated. Subjects were assessed the following day at 9 AM, 1 PM, and 4 PM on MIST-VR tasks.Main Outcome Measures: Assessment measures included time, economy of diathermy use, and error scores.Results: In study 1, both groups performed similarly at baseline, but the alcohol group showed deterioration on all performance measures after alcohol consumption. Overall, although the time score differences between the 2 groups were not statistically significant (P=.29), there was a significant difference between the 2 groups' diathermy (P <.03) anderror (P <.003) scores. There was also a significant effect for time of testing (P <.003), diathermy (P <.001), and errors (P <.001). In study 2, experts demonstrated a similar postalcohol performance decrement for time (P <.02), diathermy (P <.001), and error scores (P <.001).Conclusion: Excessive consumption of alcohol appeared to degrade surgical performance the following day even at 4 PM, suggesting the need to define recommendations regarding alcohol consumption the night before assuming clinical surgical responsibilities.

AB - Objective: To examine the effect of previous-day excessive alcohol consumption on laparoscopic surgical performance.Design: Study 1 was a randomized controlled trial. Study 2 was a cohort study.Setting: Surgical skills laboratory.Participants: Sixteen science students (laparoscopic novices) participated in study 1. Eight laparoscopic experts participated in study 2.Interventions: All participants were trained on the Minimally Invasive Surgical Trainer Virtual Reality (MIST-VR). The participants in study 1 were randomized to either abstain from alcohol or consume alcohol until intoxicated. All study 2 subjects freely consumed alcohol until intoxicated. Subjects were assessed the following day at 9 AM, 1 PM, and 4 PM on MIST-VR tasks.Main Outcome Measures: Assessment measures included time, economy of diathermy use, and error scores.Results: In study 1, both groups performed similarly at baseline, but the alcohol group showed deterioration on all performance measures after alcohol consumption. Overall, although the time score differences between the 2 groups were not statistically significant (P=.29), there was a significant difference between the 2 groups' diathermy (P <.03) anderror (P <.003) scores. There was also a significant effect for time of testing (P <.003), diathermy (P <.001), and errors (P <.001). In study 2, experts demonstrated a similar postalcohol performance decrement for time (P <.02), diathermy (P <.001), and error scores (P <.001).Conclusion: Excessive consumption of alcohol appeared to degrade surgical performance the following day even at 4 PM, suggesting the need to define recommendations regarding alcohol consumption the night before assuming clinical surgical responsibilities.

KW - VIRTUAL-REALITY

KW - HANGOVER

KW - SKILLS

KW - CHOLECYSTECTOMY

KW - IMPAIRMENT

KW - INGESTION

KW - DRINKING

KW - DOCTORS

KW - NIGHT

M3 - Article

SN - 2168-6262

VL - 146

SP - 419

EP - 426

JO - JAMA Surgery

JF - JAMA Surgery

IS - 4

ER -