Postural and workflow impacts from the implementation of a cardiovascular surgery/procedure instrument platform within an image-guided interventional environment.

BACKGROUND/

OBJECTIVES

Image-guided surgical procedures have spatial constraints that complicate workflow, contributing to repetitive awkward turning and leaning postures. These postures, coupled with lead aprons for radiation protection, can cause Work-Related Musculoskeletal Disorders in the spine/shoulders. This study evaluates an intervention table for equipment in front of operators to reduce spatial constraints and physical risks.

METHODS

Nine attending clinicians (8 male) and 3 fellows (2 male) performed Transcatheter Aortic Valve Replacement (TAVRs) at a quaternary academic hospital at baseline and with an intervention table. Postural data, turning patterns, and subjective workload were collected.

RESULTS

120 cases were collected (67 baseline, 53 intervention). The intervention table significantly reduced high-risk postures for the neck and the torso for attendings; while increasing risky postures for both shoulders compared to baseline.

CONCLUSIONS

The intervention table may help neck and torso postures, with the trade-off being increased risks to the arms and shoulders.