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.