Geburtsassoziierte Plexusparese

Schwenzer, T.; Bahm, Jörg

doi:10.1007/978-3-662-48787-7_2

Cited by 4 publications

(6 citation statements)

References 120 publications

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“…It is therefore very important to distinguish the time of occurrence of the injury. MRI will indicate the chronic existence of a lesion, whereas acute brachial plexus lesions will be demonstrated by signs of acute tissue development [1,2,[13][14][15].…”

Section: Discussionmentioning

confidence: 99%

“…Panic due to acute events in FSD may occur in some obstetricians who lack confidence, and after FSD and impossible release of impacted shoulders after vacuum extractor application. The multi-minute duration of this urgency is directly correlated with perinatal outcome [5,13,14,[25][26][27][28][29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

“…FSD is an unpredictable and unexpected obstetric emergency. Prevention of FSD is generally not possible, although good antenatal care can sometimes exclude risky cases of FSD, and some rare, chronic intrauterine disorders can result in orthopedic and neurological sequelae, which is especially important in forensic analysis [1,5,11,13,14,31,34,35]. Acute BP in FSD is iatrogenic injury, traumatic, violent rather than spontaneous, and therefore interventions with minimal fetomaternal trauma should be chosen.…”

Section: Discussionmentioning

confidence: 99%

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A Forensic Aspect of Fetal Shoulder Dystocia

Habek

Cerovac

2020

Z Geburtshilfe Neonatol

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Fetal shoulder dystocia (FSD) is an unpredictable and critical obstetric intrapartum emergency, where an objective problem is the relationship between the mother's pelvis and the child, i. e., an anthropometric disorder of delivery mechanics and dynamics. It is evident that the need to perform other maneuvers indicates the severity of FSD, which in turn correlates with the consequent iatrogenic injury of the fetus and/or mother. FSD is certainly the most controversial forensic obstetric problem, with the most disputes, compensation for damages due to peripartum injury to the child and/or mother, pain suffered, the need for someone else's care, and permanent disability. Suboptimal procedures and inadequate documentation are factors of forensic risk and subsequent litigations. Prevention of FSD is generally not possible, although good antenatal care can sometimes exclude risky cases of FSD, and some rare, chronic intrauterine disorders can result in orthopedic and neurological sequelae, which is especially important in forensic analysis. Because FSD is largely impossible to predict, it must be viewed as an intrapartum acceptable risk. During childbirth, FSD may compromise the safety of the mother and unborn child, therefore education and skills acquisition are necessary for obstetric work. Risk control, proper procedures, and proper documentation, along with good communication with the pregnant women and their families, significantly reduce litigation procedures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Forensic Aspect of Fetal Shoulder Dystocia

Habek

Cerovac

2020

Z Geburtshilfe Neonatol

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“…5 The HELPERR (H: call for help, E: consider episiotomy, L: legs, P: suprapubic pressure, E: enter maneuvers, R: remove the posterior arm, R: roll onto all fours) mnemonic formula, developed by the Advanced Life Support in Obstetrics (ALSO) providers, can be useful during acute SD management. According to local standards, 15 the Gaskin Maneuver (R) was anticipated and performed in cases where "L" (Mc Roberts maneuver) and "P" (suprapubic pressure) were unsuccessful. Therefore, the HELPERR mnemonic formula was modi ed for the HELP-RER (H: "call for help", E: "consider episiotomy", L: "legs", P: "suprapubic pressure", R: "rotate onto all fours", E: "enter maneuvers", R: "remove the posterior arm") checklist, as shown in Fig.…”

Section: Study Groups Randomization and Blindingmentioning

confidence: 99%

Impact of a virtual reality-based simulation training for shoulder dystocia on human and technical skills among caregivers: A randomized-controlled trial

Falcone,

CATIC,

HEINZL

et al. 2023

Preprint

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Background:This study analyzed the adherence to the modified Advanced Life Support in Obstetrics (ALSO) algorithm (HELP-RER) for handling shoulder dystocia (SD)using a virtual reality (VR) training modality. Secondary outcomes were improvements in the post-training diagnosis-to-delivery time, human skills factors (HuFSHI), and perceived task-load index (TLX). Methods:Prospective, case-control, single-blind, 1:1 randomized crossover study. Participants were shown a 360-degree VR video of SD management. The control group was briefed theoretically. Both groups underwent HuFSHI and HELP-RER score assessments at baseline and after the manikin-based training. The TLX questionnaire was then administered. After a washout phase of 12 weeks, we performed a crossover, and groups were switched. Results:There were similar outcomes between groups during the first training session. However, after crossover, the control group yielded significantly higher HELP-RER scores [7 vs. 6.5; p=0.01)], with lower diagnosis-to-delivery-time [85.5 vs. 99 seconds; (p=0.02)], and TLX scores [57 vs. 68; (p=0.04)]. In the multivariable linear regression analysis, VR training was independently associated with improved HELP-RER scores (p=0.003). The HuFSHI scores were comparable between groups. Discussion:Our data demonstrated the feasibility of a VR simulation training of SD management for caregivers. Considering the drawbacks of common high-fidelity trainings, VR-based simulations offer new perspectives.

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“…Zusammenfassung Die Implementierung neuer Technologien, wie etwa das VR-Training im medizinischen Bereich, kann zur Steigerung der Patientinnensicherheit führen. Unsere Ergebnisse bestätigen die Sinnhaftigkeit eines Schulterdystokie-Trainings als Virtual Reality bei medizinischem Personal 1 2 3 4 5 6 .…”

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