Sleep Deprivation, Burnout, and Acute Care Surgery

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Brown CVR, Joseph BA, Davis K, Jurkovich GJ. Modifiable factors to improve work-life balance for trauma surgeons. J Trauma Acute Care Surg. 2021;90(1):122–8. Lack of work-life balance can lead to increased burnout and many factors leading to decreased balance such as increased time at work and less at home with poor compensation are modifiable.

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To sleep, perchance to dream: acute and chronic sleep deprivation in acute care surgeons - PubMed [Internet]. [cited 2022 Sep 21]. Available from: https://pubmed.ncbi.nlm.nih.gov/30959105/. Landmark study defining the physiologic effects of call on acute care surgeons/.

Jones CE FE. Burnout reduction in acute care surgeons: impact of faculty schedule change at a level 1 trauma and tertiary care center. J Trauma Acute Care Surg. 2022. Study implementing a weekly 12hr call schedule for ACS faculty at a level 1 trauma and tertiary care center reduced burnout of faculty and their families without compromising clinical duties.

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Dawson D, Reid K. Fatigue, alcohol and performance impairment. Nature. 1997;388(6639):235. One of the first studies to identify an equivalency of effect from sleep deprivation with alcohol intoxication.

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The use and misuse of exogenous melatonin in the treatment of sleep disorders - PubMed [Internet]. [cited 2022 Sep 21]. Available from: https://pubmed.ncbi.nlm.nih.gov/30148726/.

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Reichert CF, Deboer T, Landolt HP. Adenosine, caffeine, and sleep-wake regulation: state of the science and perspectives. J Sleep Res. 2022;31(4):e13597.

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Huang ZL, Qu WM, Eguchi N, Chen JF, Schwarzschild MA, Fredholm BB, et al. Adenosine A2A, but not A1, receptors mediate the arousal effect of caffeine. Nat Neurosci. 2005;8(7):858–9. Landmark paper defining the effects of caffeine in the central nervous system.

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Baur DM, Lange D, Elmenhorst EM, Elmenhorst D, Bauer A, Aeschbach D, et al. Coffee effectively attenuates impaired attention in ADORA2A C/C-allele carriers during chronic sleep restriction. Prog Neuropsychopharmacol Biol Psychiatry. 2021;13(109):110232.

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Sholtes D, Kravitz HM, Deka A, Westrick J, Fogg LF, Gottlieb M. Optimising sleep and performance during night float: a systematic review of evidence and implications for graduate medical education trainees. J Sleep Res. 2021;30(4):e13212. A seminal review of interventions (melatonin, modafinil, naps, caffeine) to combat sleep deprivation of residents on night float demonstrated no meaningful improvement.

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