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DTSTAMP:20251016T135134Z
LOCATION:Grand C/D South
DTSTART;TZID=America/Chicago:20251017T084000
DTEND;TZID=America/Chicago:20251017T090000
UID:HFESAM_ASPIRE 2025_sess172_LBR136@linklings.com
SUMMARY:Ergonomic Surgical Intervention Table for Transcatheter Aortic Val
 ve Replacement procedures
DESCRIPTION:Yifan Li, Joseph Kim, Sakshi Taori, Mandeep Singh, and Susan H
 allbeck (Mayo Clinic)\n\nBackground\nProcedures in the catheterization lab
 oratory often have fixed patient beds and tables behind the surgeons that 
 complicate workflow and cause spatial constraints. This leads to repetitiv
 e awkward turning and leaning motions in surgeons that can lead Work-Relat
 ed Musculoskeletal Disorders (WMSDs) in the back and neck. This work evalu
 ates the effect of a surgical intervention table placed above the patient 
 and in front of operators on postural risks. The Transcatheter Aortic Valv
 e Replacement (TAVR) procedure was chosen as a benchmark because of its co
 mplex workflow, standardization between surgeons, and low-risk nature. \nM
 ethods\nTo evaluate ergonomics, 9 consultants (8 male) and 3 fellows (2 ma
 le) performing TAVRs at the Mayo Clinic were recruited. Each surgeon perfo
 rmed procedures using both the baseline workflow, and the intervention wor
 kflow. To evaluate postural risks of the neck, torso, and arms, data was c
 ollected using Inertial Measurement Units.\nResults \nA total of 120 surge
 on-cases were collected (66 baseline, 53 intervention). Amongst consultant
 s, use of the intervention table yielded significant reductions in percent
  surgical duration in risk 3 (higher risk postures) coupled with increase 
 in percent surgical duration in risk 1 (low risk postures) for the neck an
 d the torso. However, in intervention cases, consultants also spent greate
 r percent surgical duration in risk 2 and 3 (moderate and high-risk postur
 es) coupled with a decrease in surgical duration in risk 1 (low risk postu
 res) for both arms. This suggests that while this intervention table may h
 elp the neck and torso, the trade-off is increased risk to the arms.\n\nTr
 ack: General Sessions\n\n
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