Gilreath Noah, Galambas Amanda, Liu Jonathan, Gilmore Andrea, Antoci Valentin, Cohen Eric
University Orthopaedics Inc, East Providence, Rhode Island; Umass Chan Medical School, Worcester, Massachusetts.
Department of Orthopaedics, Brown University, Providence, Rhode Island.
J Arthroplasty. 2025 Jun;40(6):1636-1642. doi: 10.1016/j.arth.2024.11.046. Epub 2024 Nov 23.
There are many sources of noise production in the operating room, including conversations among the surgical team, background music, electric monitors and alarms, surgical power tools, surgical instrument clattering and hammering, and suction devices. These sources introduce occupational hazards by producing damaging noise levels that exceed noise exposure level guidelines set by the National Institute of Occupational Safety and Health and the Health and Safety Executive. Noise-induced hearing loss affects up to 50% of orthopaedic staff, but few preventative measures are regularly followed in the orthopaedic setting. This review is intended to evaluate existing noise exposure guidelines, present data on sources of noise production in the operating room, and inform and guide orthopaedists toward more effective prevention strategies.
手术室中有许多产生噪音的源头，包括手术团队成员之间的交谈、背景音乐、电子监护仪及警报声、手术动力工具、手术器械的碰撞和敲击声以及吸引装置。这些源头产生的有害噪音水平超过了美国国家职业安全与健康研究所及健康与安全执行局制定的噪音暴露水平指南，从而带来职业危害。噪音性听力损失影响了多达50%的骨科工作人员，但在骨科环境中很少有预防措施得到定期执行。本综述旨在评估现有的噪音暴露指南，呈现手术室中噪音产生源头的数据，并为骨科医生提供信息并引导他们采取更有效的预防策略。
