A comparison of shoulder pressure among different patient stabilization techniques

Suozzi, Brent A.; Brazell, Hema D.; O’Sullivan, David

doi:10.1016/j.ajog.2013.05.037

Cited by 11 publications

(14 citation statements)

References 11 publications

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“…In the steep Trendelenburg position, the patient is head-down in a supine position, with her feet on an incline up to 30°higher than her head. Shoulder braces are often used to prevent the patient from slipping on the operating table [16,29]. The pressure exerted on the shoulders increases as the angle of the Trendelenburg position increases [29].…”

Section: Neuropathy Of the Brachial Plexusmentioning

confidence: 99%

The Prevention of Positioning Injuries During Gynecologic Surgery. Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry Number 015/077, October 2020)

Fleisch

Bader

Balzer

et al. 2021

Geburtshilfe Frauenheilkd

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Purpose Positioning injuries are relatively common, forensically highly relevant complications of gynecologic surgery. The aim of this official AWMF S2k-guideline is to provide statements and recommendations on how to prevent positioning injuries using the currently available literature. The literature was evaluated by an interdisciplinary group of experts from professional medical societies. The consensus on recommendations and statements was achieved in a structured consensus process. Method The current guideline is based on the expired S1-guideline, which was updated by a systematic search of the literature and a review of relevant publications issued between February 2014 and March 2019. Statements were compiled and voted on by a panel of experts. Recommendations The guideline provides general and specific recommendations on the prevention, diagnosis and treatment of positioning injuries.

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Section: Neuropathy Of the Brachial Plexusmentioning

confidence: 99%

The Prevention of Positioning Injuries During Gynecologic Surgery. Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry Number 015/077, October 2020)

Fleisch

Bader

Balzer

et al. 2021

Geburtshilfe Frauenheilkd

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“…In the steep Trendelenburg position the patient is head-down in a supine position with her feet 30°higher than her head. Shoulder braces are often used to prevent the patient from sliding on the operating table [33,45]. The pressure exerted on the shoulders increases as the tilt angle in the Trendelenburg position is increased [45].…”

Section: Type Of Riskmentioning

confidence: 99%

“…Shoulder braces are often used to prevent the patient from sliding on the operating table [33,45]. The pressure exerted on the shoulders increases as the tilt angle in the Trendelenburg position is increased [45]. The combination of arm abduction and shoulder brace appears to increase the risk of plexopathies [46].…”

Section: Type Of Riskmentioning

confidence: 99%

“…Pressure on the peripheral accessory nerve can additionally lead to trapezius muscle paresis. One study, which prospectively evaluated three different systems to prevent intraoperative sliding of the patient and simultaneously measured the pressure exerted on the shoulder with varying degrees of head-down tilt angle in non-anesthetized patients, showed that use of a medical vacuum mattress system resulted in the least pressure on the shoulders [45]. Whether the use of vacuum mattresses could reduce the incidence of brachial plexus injury has not yet been demonstrated, even though many authors advocate the use of such systems.…”

Section: Type Of Riskmentioning

confidence: 99%

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The Prevention of Positioning Injuries during Gynecologic Operations. Guideline of DGGG (S1-Level, AWMF Registry No. 015/077, February 2015)

Fleisch

Bremerich

Schulte‐Mattler

et al. 2015

Geburtshilfe Frauenheilkd

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!Purpose: Official guideline published and coordinated by the German Society of Gynecology and Obstetrics (DGGG). Positioning injuries after lengthy gynecological procedures are rare, but the associated complications can be potentially serious for patients. Moreover, such injuries often lead to claims of malpractice and negligence requiring detailed medical investigation. To date, there are no binding evidence-based recommendations for the prevention of such injuries. Methods: This S1-guideline is the work of an interdisciplinary group of experts from a range of different professions who were commissioned by DGGG to carry out a systematic literature search of positioning injuries. Members of the participating scientific societies develop a consensus in an informal procedure. Afterwards the directorate of the scientific society approves the consensus. The recommendations cover: " responsibility, information provided to the patient, documentation " basic principles to prevent positioning injuries " prevention of specific types of positioning injuries such as injuries " of the upper extremities " of the lower extremities " injuries caused by high-frequency surgery " pressure ulcers caused by positioning " prevention of compartment syndrome " clinical monitoring and the diagnosis of positioning injuries

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“…A few papers have paid attention to the reason for shoulder to back pain in certain groups of people doing special jobs, such as pilots, and mechanic troops [10,11], some researchers have used questionnaires to analyze lower back pain [12], but rarely used instruments to measure quantitatively shoulder to back pressure. Suozzi et al [13] used a pressure meter to measure shoulder pressure and compare the changes in shoulder pressure, and tests showed that with the increase of angle of inclination, shoulder pressure also increased. Martin and Hooper [14] used Tekscan pressure sensor to measure shoulder pressure, and this method has been adopted by subsequent scholars.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Backpacks of Different Structures with Different Loads on Shoulder to Back Pressure in Primary School Students

Zhou¹,

Chen²,

Zhou³

et al. 2017

LFJ

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ABSTRACT. The main purpose of this study was to evaluate the difference between soft and hard backpacks in pressure transmission effect and decompression with increased load weight. mFLEX was used to measure shoulder to back pressure on 100 primary school students (malefemale ratio 4:6) wearing different bag loads (equivalent to 5%, 10%, 15%, 20% and 25% of their body weights). Meanwhile, a comparative analysis test was done between backpacks of different structures (red backpack A with shoulder and back cushion design and regular yellow backpack B without shoulder and back cushion design). The conclusion is, along with the increase of backpack load, shoulder to back pressure value increased significantly, among them shoulder pressure value increased linearly, and back pressure value increased exponentially. Pressure values of the cushion bag (A) in three areas were all significantly larger than those of control bag (B). The results of the study are contrary to our hypothesis. Instead of effectively alleviating the concentration of pressure in three stress areas, left shoulder, right shoulder and lower back (LS, RS and LB), the buffer structure increases the pressure values. Therefore, in main pressure areas, we cannot simply rely on adding buffer structure to reduce the pressure generated by loading. KEY WORDS: backpack, load, structure, shoulder-back pressure, primary school students INFLUENŢA RUCSACURILOR CU DIFERITE STRUCTURI ŞI SARCINI ASUPRA PRESIUNII ÎN ZONA UMERILOR ŞI A SPATELUI LA ELEVII DEŞCOALĂ PRIMARĂ REZUMAT. Scopul principal al acestui studiu a fost acela de a evalua diferenţa dintre rucsacurile moi şi dure în ceea ce priveşte transmiterea presiunii şi decomprimarea odată cu creşterea greutăţii. S-a utilizat sistemul mFLEX pentru a măsura presiunea în zona umeri-spate la 100 de elevi de şcoală primară (raportul băieţi:fete de 4:6) purtând rucsacuri cu diferite sarcini (echivalente cu 5%, 10%, 15%, 20% şi 25% din greutăţile corporale ale acestora). În acelaşi timp, s-a efectuat o analiză comparativă între rucsacurile cu diferite structuri (rucsacul roşu A cu pernuţe în zona umerilor şi a spatelui şi rucsacul B obişnuit, de culoare galbenă, fără pernuţe în aceste zone). Concluzia este că, odată cu creşterea greutăţii rucsacului, valoarea presiunii în zona umeri-spate a crescut în mod semnificativ; valoarea presiunii în zona umerilor a crescut liniar, iar valoarea presiunii în zona spatelui a crescut exponenţial. Valorile presiunii în cazul rucsacului cu pernuţe (A) în trei regiuni au fost în mod semnificativ mai mari decât cele obţinute în cazul rucsacului de referinţă (B). Rezultatele studiului sunt contrare ipotezei noastre. În loc să atenueze în mod eficient presiunea concentrată în trei regiuni importante -umărul stâng, umărul drept şi zona lombară (LS, RS şi LB), structura tampon duce la creşterea valorilor presiunii. Prin urmare, în regiunile principale de presiune nu ne putem baza pe adăugarea unei structuri tampon pentru a reduce presiunea generată de greutate. CUVINTE CHEIE: rucsac, sarcină...

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A comparison of shoulder pressure among different patient stabilization techniques

Cited by 11 publications

References 11 publications

The Prevention of Positioning Injuries During Gynecologic Surgery. Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry Number 015/077, October 2020)

The Prevention of Positioning Injuries During Gynecologic Surgery. Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry Number 015/077, October 2020)

The Prevention of Positioning Injuries during Gynecologic Operations. Guideline of DGGG (S1-Level, AWMF Registry No. 015/077, February 2015)

The Effects of Backpacks of Different Structures with Different Loads on Shoulder to Back Pressure in Primary School Students

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