Work related musculoskeletal injury rate and ergonomics in bronchoscopy: a global survey

Abstract

Work-related musculoskeletal injuries (MSI) are frequent among bronchoscopists with reported rate up to 75%. However, the number of studies is exiguous and based on a low sample size, while the importance of ergonomics to prevent MSIs raised with the goal to preserve the health and career longevity of the physicians. The objective of this study was to investigate the prevalence of MSI and the correlation with anthropometric, demographic and work characteristics in bronchoscopy. A global online survey containing questions about anthropometrics, demographics and ergonomics was shared among bronchoscopists and interventional pulmonologists. Seventy-three physicians from seven countries participated in the survey. 36% of responders reported to have/had experienced MSI (women: 30%; men: 40%). The most frequent MSI locations were wrist and lower back, and the most common types were muscle strain, trigger finger and tendonitis. According to the injured physicians, the main causes leading to MSI were the position maintained during the procedure, the weight of the endoscope and the position of the equipment. As a result, 58% would like to have lighter bronchoscopes and 62% lower lever's torque. Ergonomic training was completed by 23%, and 67% would be interested in participating in one, with the willingness significantly higher among those who have or had MSI. Given the professional and economic consequences of the frequent MSI, promoting ergonomic awareness is essential. Several ergonomic practices—such as seated positioning, use of ergonomic bronchoalveolar lavage systems, and pre-procedural warmups— are recommended to prevent MSI and safeguard physician's career longevity.

Keywords: Interventional Pulmonology, Occupational Safety, Prevention, Work Strain

DOI: 10.54941/ahfe1007944