Re: Fetal Pulse Oximetery

From: art fougner, md (evsono@pipeline.com)
Fri Jul 27 07:56:36 2001


interestingly enough - fetal pulse oximetry is discussed in the july 2001 contemporary ob-gyn - the accompanying sidebar comment is most telling. Dawn Collins, a med mal attorney from Long Beach, CA, USA opines "When a new technique is introduced, there is a period between the time it first becomes available and its adoption as 'standard of care' - if that is possible. That time frame is of legal significance. During this window, a physician may be sued for not having used the device when it was available and may be held liable for a bad outcome, assuming there is evidence that the device would have provided information that would have made a difference in management. We are at this juncture with fetal pulse oximetry.

While the standard is cloudy, the physician may also be sued for using a device, and accused of delaying a delivery, and allegedly causing damage to the fetus. Even if fetal pulse oximetry becomes standard of care ... there will most likely be an expert who will say that the FHR pattern was so nonreassuring that the device delayed delivery and caused damage, regardless of the O2 saturation level."

in other words, folks, we return to those Chinese interesting times. America - what a country!!!

art

At Fri, 27 Jul 2001, Braun, R. Daniel wrote: >
>And how many of them use it?
>
>R. Daniel Braun, MD
>
>"If everybody likes you, you've got to be doing something wrong."
> Kinky Friedman
>
>-----Original Message-----
>From: dahmd@cfl.rr.com [mailto:dahmd@cfl.rr.com]
>Sent: Thursday, July 26, 2001 7:11 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Fetal Pulse Oximetery
>
>At Thu, 26 Jul 2001, Braun, R. Daniel wrote:
>>
>>At that rate of use, how can you justify having a machine set up and
>>calibrated on a daily basis?
>
>There are 30 other ob's delivering on our labor unit.
>
>DAH
>
>--
>D. Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>Orlando, Florida
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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