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Fatigue and the Anaesthetist

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Fatigue is a state of physical or mental weariness characterized by a lessened capacity for work and a reduced efficiency of accomplishment. It may result from a period of intense or prolonged exertion or alternatively may occur after time spent on unchallenging or monotonous tasks. In clinical practice, it is associated with long hours of wakefulness, sustained mental effort, and shift working. Fatigue negatively affects performance and is associated with increased risks to patient safety and to the well-being of the anaesthetist. The increase in shift working for trainees as a consequence of the European Working Time Directive (EWTD) and the increasing likelihood of a 24-h consultant-delivered service have increased concerns that fatigue may become more prevalent in front-line anaesthetists with predictable implications for safety and clinical effectiveness.

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