Surgeon tired? Risk is on the increase

Surgeons who operate the day after a night duty have a higher risk of surgical complications if they slept less than six hours, according to a U.S. study, that appeared in the latest issue of the Journal of the American Medical Association. This information is not reassuring, but who would dare, before sleeping, ask the surgeon if he had a good night?

The issue of fatigue after the night duty (but why only the night duty, a big party should produce the same result) and the risk it poses has been studied in the past, but especially among the boarders.

To learn more, the activity of 86 surgeons and 134 obstetricians has been studied. The researches compared the first 919 surgeries conducted after a night guard and 3552 after a normal night, and the other 957 obstetric interventions conducted after a night guard and 3945 after a normal night.

When the results are taken as a whole, there is no increased risk of complications for procedures performed after a night guard (5.4%) compared to those after a normal night (4.9 %).

But closer analysis showed that when surgeons had slept for less than six hours after their night duty, the risk of complications during surgical interventions day increased. There were complications in 8.5% interventions, against 3.1% if the surgeons had been able to sleep for at least six hours.

However, the duration of sleep recovery after the night duty did not affect the risks in obstetrics. The researchers also observed a trend toward increased risk when the duration of work during the guard was more than 12 hours.

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