In adult mannequins, videolaryngoscopy improves glottic visualization with lower force applied to upper airway tissues and reduced task workload compared with direct laryngoscopy. This trial compared oropharyngeal applied forces and subjective workload during direct vs indirect (video) laryngoscopy in a neonatal mannequin. Methods We conducted a randomized crossover trial of intubation with direct laryngoscopy, straight blade videolaryngoscopy, and hyperangulated videolaryngoscopy in a neonatal mannequin. Thirty neonatal/pediatric/anesthesiology consultants and

During labor and birth, it is important to objectively diagnose and track the fetal position and fetal progression in the interests of discriminating physiologic from dystocic labor. It is pivotal to allow a consistent interchange of information in the delivery room. An inaccurate evaluation of labor progression is often a cause of excessive obstetric interventions and related maternal and fetal morbidity. However, techniques that allow non-invasive and dynamic labor assessment are not currently available. Digital vaginal examination, even when performed by experienced operators, can be imprecise because of its inherent subjectivity. In addition, some factors, such as caput

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Coronavirus disease 2019 (COVID-19) has affected the conditions of work in healthcare institutions and the quality of patient care around the world. Emerging healthcare robotic technology may facilitate and improve the overall quality of life, as well as the diagnostics, rehabilitation, and intervention services. This paper reports the lessons learned from actions carried out in the implementation of the DIH-HERO project call across Europe for robotic solutions that support healthcare activities. Conclusion remarks are as follows: i) technology pull and the urgent need together accelerate the innovation development and deployment, ii) it takes time to establish safety and legal regulations for the deployment of human-machine devices, so the ethical, safety, and reliability aspects of robotic application need to be carefully considered, iii) technology adoption depends on the trust of the users to the technology, iv) existing robotic technology for prevention, diagnosis, hospital admission, rehabilitation, and intervention is mature enough for the adaptation and deployment, v) unskilled general population should be trained for the usage of robotic technology.

A correct evaluation of the fetus progress into the birth canal during labor is often a complicated task, but it is of fundamental importance for a proper delivery management. Indeed, incorrect assessment of fetal presentation, position and station could lead to severe complications for both the fetus and the mother. Currently, fetus progress assessment during the delivery phase is still performed in the same way of last centuries, namely with a manual vaginal exploration assessed only using two fingers (index and medium fingers). This evaluation is therefore strongly subjective and dependent on clinical experience of the medical doctor; thus, reproducibility is very limited. In this framework, simulation-based training is a valuable instrument for obstetrics and gynecologists learning process, thus for evaluating and improving their abilities. In this work, we introduce a novel integrated childbirth platform which offers a real-time monitoring of fetal head during the active phase of labor. A realtime evaluation of fetal head presentation, position and station is provided, along with a 3D virtual visualization of the childbirth simulation. This kind of platform was conceived as a valid instrument for gynecological teaching and training. Preliminary results demonstrated its usefulness as an instrument for training in obstetrics and gynecology.