Multi-method characterization of neurophysiological and biological stress responses in surgical teams during real surgical procedures

This study demonstrates that a multimodal approach can effectively characterize stress dynamics in a real-world surgical environment. The EEG-derived metric emerged as the most sensitive indicator, capable of discriminating stress levels with high temporal and role-specific precision. Novice surgeons exhibit significantly greater neurophysiological and endocrine stress responses, underscoring the need for targeted support and advanced training protocols. These findings lay the groundwork for developing real-time, objective stress monitoring systems to enhance surgical performance, training, and patient safety.