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January 1, 2019ARC Journal of AnesthesiologyOpen Access

During endotracheal intubation, the average normalized unit of the low-frequency component (NU) was significantly higher in the standing group (87.1% ± 4.7%) compared to the sitting group (78.1% ± 8.8%, P = 0.0042).

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Why the study?

Anesthesiologists often experience work-related stress, but no studies had used heart rate variability to objectively measure their stress levels.

Does performing anesthetic induction while sitting compared to standing reduce stress as measured by heart rate variability in anesthesiologists?

Population

Four anesthesiologists performing anesthetic inductions

Comparison

Performing anesthetic induction while sitting vs standing

Design

Observational study

Discussion

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Overview

Sitting may attenuate sympathetic activation during intubation; hypothesis-generating Level 3 data leave open effects on occupational stress.

Structured PICO

Does performing anesthetic induction while sitting compared to standing reduce stress as measured by heart rate variability in anesthesiologists?

P
Population
4 anesthesiologists
I
Intervention
Performing anesthetic induction while standing
C
Comparator
Performing anesthetic induction while sitting
O
Outcome
Heart rate variability (HRV) parameters including heart rate, ultra-short-term entropy, low-and high-frequency components, and normalized unit of the low-frequency component (NU)surrogate

Anesthesiologists exhibit higher sympathetic tone during tracheal intubation when standing compared to sitting, suggesting that sitting during anesthetic procedures might reduce occupational stress.

Cite This Study

A 2019 study studied this question.

synapsesocial.com/papers/6a8a519e439f8b7e0143496fhttps://doi.org/10.20431/2455-9792.0401001
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Heart Rate Variability and Acute Stress Among Novice Airway Managers2019 · 11 citations
  2. 2Anesthetists’ Heart Rate Variability as an Indicator of Performance During Induction of General Anesthesia and Simulated Critical Incidents2018 · 1 citations
  3. 3Anesthesiologists and Acute Perioperative Stress: A Cohort Study2002 · 64 citations
  4. 41260: HEART RATE VARIABILITY AS A MARKER OF STRESS IN TRAINEE PERFORMANCE OF CRITICAL PROCEDURES2026
  5. 5Neuroendocrine Stress Response and Heart Rate Variability: A Comparison of Total Intravenous Versus Balanced Anesthesia2005 · 162 citations