Surgeons' and surgical trainees' acute stress in real operations or simulation: A systematic review.

摘要: Abstract Background and purpose Acute stress in surgery is ubiquitous has an immediate impact on surgical performance patient safety. Surgeons react with several coping strategies; however, they recognise the necessity of formal management training. Thus, assessment a direct need. Surgical simulation validated standardised training milieu designed to replicate real-life situations. It replicates stress, prevents biases, provides objective metrics. The complexity mechanisms makes measurement difficult quantify interpret. This systematic review aims identify studies that have used acute estimation measurements surgeons or trainees during real operations simulation, collectively present rationale these tools, special emphasis salivary markers. Methods A search strategy was implemented retrieve relevant articles from MEDLINE SCOPUS databases. 738 retrieved were reviewed for further evaluation according predetermined inclusion/exclusion criteria. Results Thirty-three included this review. methods varied greatly among non-invasive techniques being most commonly used. Subjective tests surgeons' are presented. Conclusion There broad spectrum mental tools field biomarkers recently gained popularity. need maintain consistent methodology future research, towards deeper understanding field.