ムラガキ ヨシヒロ   MURAGAKI Yoshihiro
  村垣 善浩
   所属   研究施設 研究施設
   職種   教授
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Correlation between Surgical Manipulations and the Variation of Surgeon's Heart Rate in Brain Surgery: Technical Note.
掲載誌名 正式名:Neurologia medico-chirurgica
略  称:Neurol Med Chir (Tokyo)
ISSNコード:04708105/13498029
巻・号・頁 54(6),486-489頁
著者・共著者 NAMBU Kyojiro†, MURAGAKI Yoshihiro, SAKURAI Y, ISEKI Hiroshi
発行年月 2014/06
概要 For improvement of surgical performance and safety, we record surgeries by video cameras. However, analysis of the video records is time consuming. To help this task, we are developing methods to automatically mark up significant time points in the surgery. As a possible mean for the marking, we focused on the surgeon's heart rate. During a craniotomy of an intracranial glioma, we recorded the surgeon's electrocardiogram using a telemeter and measured the R-to-R interval (RRI). We detected the stable state of heart rate as a peak-to-peak RRI of less than 5% of the mean of RRI data from 15 consecutive heartbeats. We also quantified the frequency of brain touches by the surgeon under the surgical microscope. We examined the association between the stability of surgeon's heart rate and the brain touches using a chi-square test. As the result, the stable state of surgeon's heart rate was associated with the brain touches (p<0.05, odds ratio 5.1). We edited a one-minute digest video of the surgery based on only the heart rate data, and it was sufficient to understand how the surgery was preceded.
DOI 10.2176/nmc.tn2013-0046
PMID 24257543 [PubMed - in process]