Document Detail


A comparison of shoulder pressure among different patient stabilization techniques.
MedLine Citation:
PMID:  23707805     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the pressure placed on the shoulders as a function of varying degrees of head-down tilt (Trendelenburg) and to compare these pressures among three different patient-positioning systems. Study Design: Participants were placed in the dorsal-lithotomy position with arms tucked and tilted at 5, 10, 15, 20, 25, and 30° of head-down tilt. Using a manometer, we measured the pressure (cm H2O) on the shoulders at each angle for three support devices: the Skytron shoulder support (Grand Rapids, MI), the Allen shoulder support (Allen Medical System, Acton, MA), and the Allen Hug-u-Vac. RESULTS: Among 23 participants, body mass index (BMI) (mean ± standard deviation) was 24.5 ± 4.3 kg/m2. As the tilt angle increased, so did the shoulder pressure for all support systems. At 30° of Trendelenburg, the Allen Hug-u-Vac transmitted less pressure to the shoulders than the Skytron (right and left, p<0.001) and the Allen shoulder supports systems (right p<0.001, left p=0.434). When asked, "Which system was most comfortable?" 74% of the participants reported that they preferred the Hug-u-Vac (p<0.001). CONCLUSION: Shoulder pressure increases as tilt angle increases. Of the three support systems tested, the Allen Hug-u-Vac transmitted less pressure to the shoulders at 30° of Trendelenburg than the Skytron and the Allen shoulder support systems.
Authors:
Brent A Suozzi; Hema D Brazell; David M O'Sullivan; Paul K Tulikangas
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-5-22
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  -     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-5-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Mosby, Inc. All rights reserved.
Affiliation:
From the Division of Urogynecology, Department of Obstetrics and Gynecology (Drs Suozzi, Brazell, and Tulikangas), and the Department of Research Administration (O'Sullivan), Hartford Hospital, Hartford, CT. Electronic address: bsuozzi@harthosp.org.
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