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What happens in the operating room when you go under the knife? There is dancing, singing, flirting and conflict, discovered researcher Frans de Waal. "The power struggle between the surgeons and the medical team is similar to that of the monkeys."
The primatologist Frans de Waal was one of the researchers who analyzed the interactions among surgeons, the Operating team and nurses from three US hospitals. "What people do not realize, is that there is also a lot of interaction in an operating room that has nothing to do with it." operation, "explains De Waal. "There is often music and then we dance and sing, and now the World Cup is busy, we probably talk a lot about football."
12-hour operation
A strange idea, of course, if you undergo an operation where it concerns life or death. But in fact it's very logical, says the researcher. "Sometimes it involves 12-hour operations, and you can not expect the operations team to be involved with the patient, and everything happens in the operating room." [19659005] With an iPad, De Waal and his team in a corner of the operating room to analyze the interactions between the surgeons and the team. For example, they studied 200 operations with an ethogram in the hand; a list of behaviors that animals present. When they saw some type of behavior in the operating room, a check was made
Serious Conflicts
In 2% of cases there were serious conflicts, sometimes potentially dangerous for the patient or the staff, the primatologist discovered and his team. So, one of the surgeons threw away his instruments during De Waals' sightings, because nursing would have injected fluid into his eye. Then he furiously trampled the operating room.
The conflicts that took place there usually focused on the lowest people in the hierarchy, explains De Waal. In two-thirds of the cases, the surgeon was the instigator and focused on people with lower function.
Anne de Leeuw woke up during the operation:
According to experts, this happens once or twice a week.
Sex
In addition, the sex of the team and the surgeon play an important role, says De Waal. "If you have a male surgeon, the best thing to do is to have a team with mostly women, and a predominantly male team works better."
This is because alpha males and females, as you see them also in monkeys, only care about their own kind. "In the animal kingdom, alpha males generally argue with other males, they feel threatened by them in their access to women, and the threat is more about the food, status and protection of young people." [19659003] Tense Atmosphere
The atmosphere in the operating theaters has long been an element for hospitals. In 2002, a baby died in a hospital in Utrecht, because the doctor specialized in this type of operation was angry. A less experienced doctor had to take care of it. The atmosphere between the surgeons was tense for some time, as later showed the interviews with the people involved.
In 2016, LUMC Leiden even made fewer liver, kidney and pancreas transplants due to a conflict between seven surgeons. Due to the conflict, patient safety in complex interventions can no longer be guaranteed. Complex operations requiring two surgeons were therefore subcontracted to Erasmus MC.
Human lives in danger
This is also the case in the United States. This is the reason why De Waal and his team of hospitals had access to hospitals to conduct their studies. "They felt that something had to be done."
But in fact De Waal thought that the number of conflicts in the operating rooms was better. "People from the medical world have reminded me of the bad atmosphere in the operating rooms, but in less than 3% of cases, the interaction was conflictual, which is good news, but the the bad news is that if a conflict arises, has immediate and profound consequences, and people's lives are threatened. "
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