EP9.25 The Effect of Suction Clamping on Noise Pollution in Hip Arthroscopy: A Randomized Control Trial

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ID: 331401
2026
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Abstract
Abstract Purpose This study aimed to evaluate the effectiveness of suction clamping for mitigating noise pollution during hip arthroscopy and analyze the impacts of the corresponding noise levels on operating time. Methods Patients undergoing primary hip arthroscopy at a single institution by a single surgeon were randomized in a 1:1 ratio to intervention or control groups. In intervention group procedures, the bag suction was clamped when not in use. In control group procedures, the bag suction was left open. Sound levels were recorded throughout the case at the location of the primary surgeon, first assist, scrub technician, nurse, and anesthesia staff using microphones and the dB-Tester application. T-tests were used to compare the control group to the intervention groups and the various OR roles. Pearson correlations were used to look for correlation between average sound level and overall operative time. Results There was no significant difference in average sound level overall between the control (68.07 dB) and intervention (67.45 dB) groups (p=0.12, CI= [-0.17, 1.40]). Separated by OR role, there was again no significant difference in sound levels between the control and intervention groups (anesthesia p=0.41, first assist p=0.33, nurse p=0.68, scrub technician p=0.12, surgeon p=0.15). Microphones on the surgeon and first assist recorded significantly higher average dBs than all other OR staff (p-values <0.0001). There was no significant difference in proportion of operation spent above the NIOSH maximum sound threshold (85 dB) between the intervention in control groups (p=0.46). Average operative times between control and intervention groups were not significantly different (p=0.69). Within the control group, there was a significant positive correlation between operative time and average (r=0.20, p=0.042) and maximum (r=0.012, p=0.012) sound levels. Conclusion We found no significant difference in OR sound levels between procedures with suction clamping and those without. Sound levels positively correlated with operative time.
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Authors Andrea M. Spiker, Megan N. Baughman, Jake Enos, Dr Jack Drake, Collin Nguyen, Taishi Ikeda, Rachael Tolsma, Brian T. Nickel
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.505
URL
https://doi.org/10.1093/jhps/hnag043.505
Keywords Keywords not found

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