Re: Electroni vacuum monitoring
From: Andrew Folley (agfolley@hotmail.com)
Fri Jan 26 16:43:00 2007
Hi Vic
Please send me more information off line. I am in charge of OB-Gyn qualtiy
at level III in Toledo Ohio
this issue has cme up several times. I have offered to trial it in labor.
Please connect me with the right people if you can. andrew
>From: "Victor Vines, MD" <vvines@parkcentraldoctors.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Electroni vacuum monitoring
>Date: Fri, 26 Jan 2007 12:29:28 -0600
>
>Greetings,
>
>Up front disclaimer--I have a vested interest in VacuLink, so interpret
>my questions and comments accordingly... I am a private practice ob/gyn
>with an interest in decreasing injuries associated with VAD, and was
>part of a team that developed VacuLink (http://www.medevco.com
><http://www.medevco.com/> ), a device that someone inquired about on
>this forum last year. As we've been marketing the device, in some areas
>of the US we have encountered physician resistance to the idea of a real
>time electronic display and record of the total time vacuum is applied,
>number of pulls, number of pop-offs, etc... I am puzzled by the
>resistance and would like your input.
>
>I have to agree up front that if a delivery performed outside the usual
>guidelines for vacuum and is documented electronically, and is then
>associated with an adverse fetal outcome, the delivering doc or midwife
>may be in a bind, but an adverse outcome after operative delivery with
>vacuum generally creates a bind in the first place...
>
>It's been the experience of the hospitals using VacuLink that the nurses
>and delivering personnel are able to see and communicate accurately, and
>make good decisions about continuing or abandoning the VAD. Because the
>record is created in real time and archived, if the delivery is properly
>performed but an infant has an adverse outcome there is no way for a
>plaintiffs' attorney to later claim that "since the vacuum details were
>documented after the delivery and the outcome already known, of course
>you documented that you used vacuum correctly...and you're not telling
>the truth." According to many plaintiffs' attorneys, newborn injury
>after vacuum is considered to be de facto evidence that the device was
>used incorrectly. This tool works to inform in real time and I think
>will create an incontrovertible defense...however, it's not been out
>long enough to have been subject to courtroom scrutiny. Yet.
>
>I am probably too close to the project, and am appealing for your
>insight...what am I not seeing about this that is challenging to docs
>and is there any information we can provide that would reassure those
>who are worried about having their VAD documented?
>
>Thank you for your consideration and insight,
>
>Vic Vines
>
>Dallas, Texas
>
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