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Indian Journal of Surgery
Medknow Publications on behalf of Association of Surgeons of India
ISSN: 0972-2068
Vol. 67, Num. 4, 2005, pp. 226-226

Indian Journal of Surgery, Vol. 67, No. 4, July-August, 2005, pp. 226

Letter To Editor

The intra-operative use of mobile phones; Why is there a controversy?

Academic Colorectal Unit, Western General Hospital, Edinburgh,
Correspondence Address:Richard R Brady, 18/1 Hawthornevale, Trinity Edinburgh EH6 4JL. richardbrady@btinternet.com

Code Number: is05072

Dear Editor,

Bhattacharya′s article[1] does not completely address the risks that surgeons pose to their patients if using mobile phones in an operating theatre environment. Previous studies have demonstrated that, apart from well-investigated effects of electro-magnetic interference, which has been documented in association with mortality,[2] there is a significant potential infection control risk.[3]

The basis, as previously suggested,[1] that prolonged mobile phone use may be stimulatory towards cerebral function is unproven in regards to surgical practice and is contrary to the practical experiences of anyone who has tried to operate in an environment demanding high mental concentration and performance. Similar concentration is required when driving and when drivers use a mobile phone there is an increased likelihood of a crash resulting in injury. The use of a hands-free phone was not proven to be any safer.[4]

There should not be a controversy in regards operative mobile phone use. A sensible and considered approach would imply that the theoretical benefits to the operator of processing this technology are outweighed by the practicalities of distraction and documented dangers as above.

In addition, this new technology changes the normal standards of operative care and given the published complications, in the absence of proven benefits, are there not patient consent and medico-legal issues to consider in regards to ′our inseparable and trusted companion′?[1]

References

1.Bhattacharya K. Mobile phone and the surgeon - Is there a controversy? Indian J Surg 2005;67:53-4.  Back to cited text no. 1    
2.Hahn IH, Schnadower D, Dakin RJ, Nelson LS. Cellular phone interference as a cause of acute epinephrine poisoning. Ann Emerg Med 2005;46:298-9.  Back to cited text no. 2  [PUBMED]  [FULLTEXT]
3.Brady RR, Wasson A, Stirling I, McAllister C, Damani NN. Is your phone bugged? The incidence of bacteria known to cause nosocomial infection on healthcare workers' mobile phones. J Hosp Infect 2005; [Epub ahead of print]  Back to cited text no. 3    
4.McEvoy SP, Stevenson MR, McCartt AT, Woodward M, Haworth C, Palamara P, et al . Role of mobile phones in motor vehicle crashes resulting in hospital attendance: a case-crossover study. BMJ 2005;331:428.  Back to cited text no. 4    

Copyright 2005 - Indian Journal of Surgery

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