Improve Patient and Staff safety with the EPD
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Epidural Chair Safety in Labor and Delivery Hospital Units

Introducing the Unparalleled Epidural Positioning Device

In the realm of labor and delivery, precision, comfort, and safety are paramount. Rising to meet these needs is the Epidural Positioning Device (EPD) from SPH Medical. Also known as the Epidural Chair, this groundbreaking device is a revolutionary tool designed with both patients and healthcare providers in mind. The EPD boasts a host of innovative features, including adjustable height and headrest tilt capabilities, easy maneuverability, and robust construction, all dedicated to ensuring optimal positioning for epidural procedures. The Epidural Chair creates the ideal spinal flexion for anesthesiologists while creating epidural chair safety and minimizing strain and risk of injury to nurses.

Epidural Positioning Chair improves safety

The Indispensable Role of the Epidural Chair Safety plays in Labor and Delivery Units

The EPD plays a crucial role in labor and delivery departments across the nation. It assists in achieving precise epidural placement, a critical factor in managing labor pain effectively. With the EPD, healthcare professionals can position patients accurately, reducing the risk of misplaced epidurals and subsequent complications.

Moreover, the Epidural Chair Safety significantly enhances patient comfort during the epidural placement. Its ergonomic design supports the patient’s body, allowing them to maintain the ideal position for an extended period without discomfort. This focus on comfort not only improves the patient experience but also contributes to a smoother, safer, needle placement process.

The Incomparable Benefits of the EPD in Labor and Delivery

The benefits of the EPD extend beyond precision and comfort. It significantly increases safety for both mother and baby by reducing the risks associated with epidural placement. Its design allows for more accurate needle guidance, minimizing the chance of dural puncture and other complications.

Furthermore, the EPD offers substantial advantages for healthcare providers. It reduces physical strain on doctors and nurses, who no longer need to physically support patients during the procedure. This ergonomic advantage can lessen the occurrence of work-related injuries among medical staff, enhancing overall department efficiency.

Proven Effectiveness: Epidural Chair Safety

The effectiveness of the EPD isn’t merely theoretical; it’s supported by real-world examples and compelling statistics. An increasing number of hospitals nationwide are reporting improved patient outcomes and increased staff satisfaction after implementing the EPD in their labor and delivery departments.

A Clear Call to Action

In light of these undeniable benefits, the conclusion is clear: the EPD from SPH Medical is an essential tool for any labor and delivery department. Its combination of precision, comfort, safety, and provider-friendly design make it an invaluable asset for enhancing patient care and staff wellbeing. We strongly encourage hospitals and birthing centers nationwide to consider its implementation. Embrace the future of labor and delivery care with the Epidural Positioning Device – a decision that promises unparalleled benefits for patients and healthcare providers alike.

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Enhancing Safety and Efficiency in Labor and Delivery Units with the Epidural Positioning Device

Nurses in Labor and Delivery units play a pivotal role in ensuring the safety and comfort of patients during one of the most crucial moments of their lives. However, this responsibility often comes with inherent risks, particularly when it involves providing manual support to patients during epidural placements. The epidural procedure, a commonly administered form of pain relief during labor, is a complex process that necessitates precise positioning and relentless support from the attending nurses. This requirement poses significant physical challenges to these dedicated healthcare professionals, leading to a potential increase in workplace injuries. One form of safe patient handling is the epidural positioning device or (EPD), this is commonly used in labor and delivery units.

Understanding the Epidural Procedure and Its Inherent Risks to Nurses

It’s not uncommon for nurses in Labor and Delivery units to resort to using stacks of pillows or unstable bedside tables to help position patients for epidural placements. This makeshift solution, while seemingly practical, exposes the nurses to undue risk. Nurses often find themselves in precarious situations, having to bear the weight of the patient leaning over these unstable supports, and in worst-case scenarios, even catching a falling patient. These situations drastically heighten the risk of injury to the nurse, adding to the physical strain of their already demanding roles.

Statistics paint a stark picture; nurses working in Labor and Delivery units face higher injury rates compared to their counterparts in other nursing specialties. The physical demands involved in epidural procedures contribute significantly to this alarming trend. Real-life accounts from nurses who have experienced close calls, injuries, or sustained harm while manually supporting patients during these procedures provide further evidence of the urgent need for safer and more efficient solutions.

In light of these circumstances, it becomes clear that the current practices surrounding epidural procedures need a revolutionary change. A change that prioritizes not only patient comfort but also the safety and wellbeing of our invaluable nurses.

Unveiling the Epidural Positioning Device (EPD)

The EPD emerges as a game-changer in this scenario. This innovative device is expertly designed to alleviate the physical strain on nurses during epidural placements. It works by positioning the patient safely and effectively for the anesthesiologist, reducing the need for manual support. With a step-by-step guide, using the EPD is straightforward, making it an ideal tool in any Labor and Delivery unit.

The manifold Benefits of Using the Epidural Positioning Device

The safety benefits of the EPD for nurses are numerous. Studies suggest that the use of the EPD can significantly reduce the risk of injury among nurses, promoting a healthier work environment. Furthermore, the EPD has been shown to increase efficiency in epidural placements, streamlining the process and saving valuable time. Testimonials from nurses and anesthesiologists echo these findings, emphasizing the remarkable benefits of the EPD.

Standardizing the EPD for Safety and Efficiency

Given these impressive benefits, standardizing the use of the EPD across Labor and Delivery units is a logical step. It promotes consistent safety practices, reducing the risk of injury among nurses. Furthermore, the potential time and cost savings associated with the use of the EPD make it an economically sound investment. Hospitals are therefore strongly encouraged to consider integrating the EPD into their Labor and Delivery units.

In conclusion, manual patient support during epidural placements poses a significant risk to nurses. The EPD mitigates these risks, promoting safety and efficiency in Labor and Delivery units. Prioritizing nurse safety and efficiency is not just about reducing injuries it’s about creating a better working environment that ultimately leads to enhanced patient care. As such, the adoption of the EPD as a standard practice in hospitals is strongly recommended. Invest in the EPD today, and take a decisive step towards enhancing safety and efficiency in your Labor and Delivery unit.

Nurses are still getting injured while catching a falling patient. Use the EPD for improved safety during epidurals.
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Safety Standards Improved During Epidurals

Epidural positioning devices are making it much easier, more comfortable, and safer for patients while also improving safety for and medical professionals during epidurals or spinal blocks. Whether it’s a soon-to-be mother in the labor and delivery unit or a patient being prepped for a total knee replacement in the surgery department, an epidural chair can make all of the difference.

What is an Epidural Positioning Device?

Known as an EPD for short, this medical device is intended to help optimally position a patient in the ideal position to administer spinal anesthesia. The epidural chair places patients in a seated, well-supported, forward leaning position to promote easy access to the lumbar, thoracic, and cervical areas of the spine. It provides an adequate level of support for patients of all different sizes and weights. This flexed spine position enables optimal access for the anesthesiologist.

What Makes an EPD Great for Patients Epidurals and Spinal Blocks?

Patients who opt for epidural pain relief can greatly benefit from having their epidural administered while they’re in an epidural chair. Traditionally, patients are supported via a stack of pillows propped up on a bedside table with wheels that don’t lock and are held in place by nurses. While this offers some level of support, patients feel more comfortable being supported by a solid chair structure.

If a patient faints or moves unintentionally, without using the EPD, the nurse has to catch the falling patient. The epidural chair provides the necessary safety and support for the patient and eliminates the manual handling required by nurses. Of course the EPD prevents them from falling to the floor and become injured. This makes using these chairs the best way to offer optimal safety for patients who are undergoing an epidural in the labor and delivery unit or a spinal block in the surgery department.

How are EPDs Beneficial to Medical Staff That Perform Epidurals?

Traditionally, patients who need to undergo epidural pain relief will require multiple nurses to hold them in place during the procedure. Nurses have to bear the weight of the patient and be capable of quickly responding to any unexpected responses, like fainting or jolting movements.

This puts nurses at risk for minor and severe musculoskeletal injuries. An epidural positioning device works to take that strain off of the nursing staff and allows the chair itself to support the majority of the patient’s weight. This means fewer nurses are needed to handle the patient during this particular medical procedure. The fewer nurses involved, the more efficiently the nursing staff can work to provide patient care to all patients on the unit. The EPD provides a new standard of safety in the hospital. With the EPD nurses can work more efficiently in a repeatable process that improves both nursing safety and patient safety.

More Epidural Pain Relief Will Be Requested by Patients

As researchers commonly pour through statistics to learn more about spinal anesthesia techniques and trends that lead to improved patient outcomes, one fact has become increasingly clear. According to a published medical article in Anesthesiology, the number of women who opt for epidurals during delivery has increased significantly by 10% from 2008 to 2018.

It’s commonly thought that the rise in patient education about the birthing process has led many pregnant women to ask for this form of spinal pain relief. As education levels continue to rise, it’s predicted that the percentage of women opting for epidurals during delivery is going to increase even more.

With more epidurals being requested for birthing deliveries and spinal blocks for specialized ortho surgeries, it’s more important than ever before to invest in an EPD. This medical device will go a long way in creating a safer environment for both your patients and nurses alike.Improve patient safety with EPD

SPH Medical's EPD Improves Safety
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Safety During Spinal Blocks and Epidurals

The use of the EPD for patient positioning during spinal blocks and other procedures

An epidural or spinal block offers patients an option to remain awake and alert while receiving pain relief. They can even help patients to get back on their feet faster after surgeries and other procedures. Some doctors use epidurals to help patients acquire relief from chronic pain as well. An experienced medical professional blocks nerves by introducing an anesthetic, steroid or other medication via straight injection or a small catheter into the lower back. Epidural pain relief is often used during back, hip and knee surgery and the delivery of a baby. Yet, epidurals can pose risks to both patients and medical personnel. Read on to learn more about these risks and how staff at hospitals and surgical facilities are introducing safety during spinal blocks with an epidural positioning device (EPD).

How Common Is Epidural Pain Relief?

According to a Stanford study published in 2018, 71% of 17 million women received some form of spine-based pain relief during childbirth between 2009 and 2014. The researchers pulled the data from birth certificate records.

In a more recent 2021 study, also by Stanford, researchers learned that approximately 2.8 million pregnant women receive epidurals every year during delivery. As noted by the Mayo Clinic, approximately 50% of women who give birth at a hospital in a labor and delivery unit request epidural pain relief.

What Sort of Patient Injuries Can Take Place?

Accidental nerve damage is one of the most common injuries. Patients who experience nerve damage after an epidural often lose feeling, movement and strength in spots or extremities. Patients can also experience allergic reactions to medication, blood clots and infections.

Additionally, Stanford researchers found during the 2021 study that approximately 28,000 women across the nation experience an accidental puncture of the spinal dura mater membrane yearly. They tracked a small sample of women from the point of delivery up to 12 months and found that 74% of the new mothers experienced excruciating, debilitating headaches, known as post dural puncture headaches (PDPH), two months after delivery. By comparison, only 38% of mothers who didn’t experience an unintentional puncture had headaches. By six months, 52% of the first group still had headaches.

Of course, this type of injury and resulting headaches can happen to any patient who receives an epidural, including those who receive treatment through a surgery department. Other symptoms associated with PDPH include dizziness, nausea, vomiting, tinnitus, vision disturbances, lower pack or neck pain and physical stiffness.

What Risks Do Medical Personnel Face?

Anesthesiologists, nurses, operating room technicians and others must physically move patients into and out of position for an epidural. This type of movement often requires that they support a patient’s full weight with their bodies. They risk muscle and tissue strains and tears and back injury from attempting to lift too much weight or catching a falling patient. If a patient loses balance, they risk falling with the patient and injuries associated with falls. They must also maintain patients in a particular seated position during the procedure, which can put strain on their arms and back.

How Does an Epidural Positioning Device Provide Safety During Spinal Blocks?

An epidural positioning device, such as an epidural chair, makes it easier for staff in a surgery department or labor and delivery unit to perform safety during spinal blocks. Although called an epidural chair, the EPD is actually a portable tool that the nurse or technician places in front of the bed or table where the patient sits during the procedure.

They can position the patient with optimal cervical, thoracic and lumbar spinal flexion. This means that the patient leans forward with a flexed spine while seated, which is the best position for a professional to perform the needle insertion to reduce the chance of an error. Instead of the nurse or technician holding the patient in the right position, the patient maintains the correct position by leaning against supports.

Sources:

Stanford Medicine; Epidurals increase in popularity; Tracie White; June 26, 2018

Stanford Medicine; Post-epidural headaches can be more serious than previously known; Tracie White; August 2, 2021

https://my.clevelandclinic.org/health/treatments/21896-epidural
Epidural: What It Is, Procedure, Risks & Side Effects; Cleveland Clinic medical professional; 10/14/2021

SPH Medical Epidural Chair improves Safety
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Epidural Positioning Trends and Spinal Block Safety

The Epidural Positioning Chair Improves Safety

The Epidural Positioning Device (EPD) is used to help patients get an epidural injection. The design is intended to improve the safety of these procedures by reducing the risk of accidental dural puncture and increasing comfort for patients. It does this through its four-point support system, which stabilizes a patient in a seated position during their procedure with padded armrests, face support, chest cushion, and foot rests on either side of them. The epidural pain relief procedure is a common way to provide pain relief during labor.

The epidural chair is used in Labor and Delivery unit and surgical departments because it’s effective at improving safety by improving patient stability and comfort. One of the most common solutions for pain and discomfort in pregnant mothers is epidural analgesia. This involves administering drugs through an epidural needle into the space around the spinal cord. This provides pain relief for the mother during labor. The medications used in epidural analgesia can also help speed up labor.  In general Epidural Analgesia is very safe.  There are some minor risks of side effects and complications for patients including low blood pressure, which can lead to a feeling of light headedness, and in some cases a temporary loss of bladder control

.1)Use of Epidural Device
The epidural chair is a simple yet effective device that helps improve the safety and comfort of patients receiving an epidural injection. The chair is portable on wheels enabling it to be moved easily into any area of the facility. The EPD is height adjustable adapting to each unique patient to support them in a comfortable position. This secure platform ensures that the patient stays safe and comfortable during the procedure. The epidural chair is available in many hospitals and clinics, and it can help make the process more comfortable for the patient. If you are scheduled for an epidural injection, be sure to ask if the hospital or clinic has an epidural chair available. This can help ensure that you have a safe and comfortable experience. The epidural pain relief procedure may also be performed in the surgery departments or in pain management clinics to relieve chronic pain.

2) Importance of Proper Epidural Positioning
Proper epidural positioning is important because it can help reduce the risk of accidental dural puncture and ensures a more accurate epidural placement. An accidental dural puncture is a severe complication when the needle used to give the epidural injection goes too deep and enters the space between the vertebrae and the spinal cord, called the dura mater. Spinal fluid can leak out when this happens and cause minor headaches to severe complications, including paralysis. Proper positioning and a comfortably stabilized patient can help ensure that the anesthesiologist is able to direct the needle into the correct position and doesn’t go too deep.

3) How does the EPD benefit the patient during the Epidural procedure?
The EPD is designed to properly position a patient in the ideal “mad cat” position that opens up the vertebral spaces for epidural placement. Patients are often nervous and scared when thinking about getting an epidural so the EPD really offers a comfortable and stable platform for the patient to lean on and hold. This makes it a valuable tool for hospitals and clinics to improve patient safety during epidural injections and spinal blocks. The Epidural Positioning Chair is used in Labor and Delivery departments and surgical areas because it’s effective at improving safety while still being comfortable.

4) Why Are Nurses at Risk of Injury During This Procedure, And How Does the Epidural Positioning Benefit Them Specifically?
Nurses are at risk of injury during this procedure because they are typically handling patients manually and having to position the patient in a side lying position or manually positioning a patient at the edge of the bed while supporting the patient as they lean on pillows stacked on an unstable bedside table. The nurse would also be likely holding the stool in place to support the patients feet with his/her own foot. What happens when a patient suddenly moves or passes out and falls to the floor? The nurse often has to catch the falling patient or apply counterpressure to help the patient maintain the correct body position. This manual handling process is outdated and unsafe. The EPD solves all of these issues.

Conclusion

Using the Epidural Positioning Device to improve safety and comfort for patients getting an epidural injection or spinal block is vital in preventing injury to nurses and patients. The epidural device helps reduce the risk of severe complications during these procedures by providing a comfortable and safe way to position patients. Using the device to improve safety and comfort for patients getting an epidural injection or spinal block is vital in preventing injury to nurses and patients. The device helps to reduce the risk of serious complications during these procedures by providing a comfortable and safe way to position patients. Proper positioning is important because it can help reduce the risk of complications and to ensure optimal patient outcomes. An epidural positioning device is considered an essential piece of equipment in Labor and Delivery Unit and surgery departments today.

Improve patient safety with EPD
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Epidural Chair Solves Spinal Block Positioning for OR

Are you looking for a way to keep your patients and hospital’s medical staff safe? Do you want to lower the risk of injuries while helping patients get better faster? The epidural positioning chair may be the answer. Known as the Epidural Chair or the Epidural positioning device (EPD), the EPD is being used in hospitals and surgical practices to enhance patient safety. The device provides secure and comfortable, stable support for patients undergoing epidurals, spinal blocks, or lumbar punctures.

Many departments use EPDs for safe patient handling and to enhance worker safety in clinics, hospitals, and pre-op areas. The imaging and surgery department uses EPDs for comfort, to hold patients in positions for various procedures to reduce the risk of injury to technicians.

Epidural Chair: What is it?

People often mistake it for a chair, but it is actually the bed or table on which the patient is seated. EPD supports the arms, head, chest, and feet while a patient is seated. The device is portable and stable, allowing it to be used at the bedside as you prepare patients for spinal and epidural blocks. Various clinical settings, inside and outside of hospitals, can benefit from EPD. Epidurals are given almost every hour in labor and delivery rooms, and spinal blocks are now being administered even more often as the number of total joint replacements increases.

Epidural Positioner: Ease of use and maintenance

The Epidural Positioning Chair provides a better solution for nurses, medical staff, and health care facilities. Many hospitals consider positioning patients as the standard of care that minimizes the risk of falls, sprains, and injuries. The EPD can be used for epidurals, spinal blocks, thoracentesis, and other pain management procedures.

With EDP, patients can receive spinal blocks or other epidural therapies in a more private, dignified way. This is also safer for caregivers. The armrests adjust in six positions, and the headrest can change 180 degrees. The device can easily fit operating rooms, birthing rooms, clinics, labor and delivery rooms, and imaging departments. Disposable covers make it easy to disinfect and clean the EPD’s face rest.

EPD: The Benefits

During, after, and before the COVID-19 epidemic, thoracentesis became routine. Epidural positioning devices make the process simpler and more predictable. According to an expert, thoracentesis usually involves the patient leaning forward while their arms rest on a bedside table. Patients who cannot sit will lie on their side for safety.

Ultrasound techs also need a safe working environment. Syncope caused by vasovagal responses during thoracentesis can be treated safely with the EPD. Studies show many hospitals and medical centers use the EPD for thoracentesis procedures. It is also very popular with technicians and patients alike. In studies of pregnant women who received epidurals, women found that positioning devices made them feel more comfortable.

Compared to the patient satisfaction before using the devices, patient satisfaction increased significantly. Other benefits include:

  • Maintains correct thoracic, cervical, and lumbar flexion to maintain stable alignment.
  • Provides a more private and less intrusive position for the patients
  • Help to prevent injuries to medical and anesthesia staff.
  • Wheeled for easy mobility
  • Easily fits any patient
  • Increases patient satisfaction

Eliminate Manual Handling with The Epidural Chair

Nurses and caregivers manually position patients for epidural procedures in preoperative settings, operating rooms, and the hospital at large. During most procedures, caregivers must hold a stool, table, and patient steadily with their entire bodies. This prevents the patient from moving, resulting in an injury. When the medical assistant is assisting the patient in holding a flexed spinal position, they are potentially putting themselves in a risky position.

Handling patients manually puts medical staff at risk for musculoskeletal injuries. As part of perioperative procedures, staff members position patients as needed for spinal and epidural blocks, respectively, in Pre-Op, OR, and other rooms as required. Most patients sit at their bedsides and place their feet on a portable stool on wheels by the bedside. To create the “mad cat” flexed spine position, the nurse brings a non-locking bedside table to the patient and places pillows as needed on it. Sometimes, the patient is simply leaning forward while their arms are wrapped around a stack of pillows. By holding the foot stool in place, the nurse keeps the patient’s upper body stationary while holding the foot stool in place with the knees or thighs. The nurse or nurse assistant must often support some of the patient’s body weight during needle insertion.

Further complicating the situation, patients are often in pain, nervous, and unpredictable, putting the staff at risk. Several hospitals have concluded that prolonged holds and counterpressure tasks are high risk. They have redesigned epidural and spinal block placement processes to eliminate manual patient handling based on their predictable daily routine.

Besides reducing risk to the medical staff and caregivers, the Epidural Positioning Device creates a comfortable and safe needle placement position, ensuring increased patient comfort. Experts have shown that “normal” patients suffer injuries when they are handled manually. The constant turning, lifting, pulling, pushing, and transferring has the cumulative effect of causing small tears in the joints and discs, leading to injury.Reduce Risk of Injury in OR with EPD

Safeguarding the medical staff

Strain, back injuries, and other musculoskeletal disorders (MSDs) are a severe concern for healthcare workers. The Association of Perioperative Registered Nurses (AORN) estimates that around 50 percent of all non-life-threatening injuries sustained by nurses are MSDs, with approximately 25 percent of these injuries involving the back.

The EPD typically addresses these concerns in preoperative rooms, which are prone to injuries. Studies show many prestigious hospitals use the device, including Mayo Clinic, VA Medical Center, Duke University Hospital, and Kaiser Hospitals. This device is an invaluable asset to the imaging team, perioperative, and Labor and Delivery (L&D), a win-win for everyone.

With the EPD, you can immediately and effectively increase patient and staff safety. If you would like more information or to request a quote, contact SPH Medical. The primary focus of SPH Medical is the safety of nurses and caregivers. The national organization offers a wide selection of safe patient handling products to healthcare facilities and hospitals nationwide, such as patient lifting solutions, air assisted transfer and positioning systems, patient slings, Nitrile Exam Gloves, N95 masks, and disinfection products.

The Epidural Positioning Devices Improves Safety
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Epidural Pain Relief and Positioning

Epidural Pain Relief and patient positioning occurs in both the hospital and outpatient settings. Epidurals are regional pain analgesics commonly administered before intense pain during labor, surgical procedures, or for chronic pain in the back and neck. Epidural anesthesia blocks pain in an area of the body. Epidurals provide labor pain relief rather than anesthesia, which is total lack of feeling. Proper patient positioning is important to ensure the correct location for the epidural placement but ensuring healthcare worker safety is equally important.

Epidural steroid injections (ESIs) are a treatment for lower back pain and leg pain. For decades, ESIs have been considered a central component of nonsurgical approaches to sciatica and lower back pain. Epidurals and epidural steroid injections involve injecting a local anesthetic (and a steroid medication in the case of ESIs) directly into the epidural space that surrounds the spinal cord and nerve roots.

Today, much emphasis is placed on the positioning of the patient for receiving epidural pain relief for reasons of safety, for both the patient and the medical staff. Being able to quickly and comfortably administer an epidural decreases risks to all involved. To aid in this, the epidural positioning chair (EPD), commonly known as the epidural positioning device (EPD), or epidural chair, has become a valuable piece of equipment. The EPC is used in labor and delivery departments and in surgical areas to position the patient properly for the epidural procedure. The mobile positioning chair is lightweight, easy to move, and locks into place to allow for easier and safer administration of epidural pain relief.

Epidural Pain Relief, Positioning a Patient

Making sure a patient is in the right position can sometimes prove difficult. For instance, a patient’s range of motion may be limited because of pregnancy or injury. A patient’s level of distraction because of pain may also impede proper positioning administration of the epidural.

Positioning a patient for an epidural is an important consideration, as risks exist for the patient and for the medical staff administering the medicine. Throughout history, different positions have been used, and more recently, specific positions are used for specific bodily locations of epidural administration.

The various positions used usually depend on the condition of the patient. Pregnant women, for instance, are often put into a Sims position (left lateral decubitus, left leg straight, right leg bent), but it may be done with the patient sitting with their back arched, often described as an “angry cat” or “boiled shrimp” position. An epidural chair makes properly positioning patients very simple.

Epidural Pain Relief Injection and Risks to the Patient

For the patient, risks include low blood pressure in 10-20% of patients. There is a 1% risk of intravascular injection, puncture in spinal cord, and failure to block. There is less than 1% risk of infection, headache, bleeding, and allergic reaction. Patients are monitored closely during and after epidural placement, especially delivering. As mentioned, administering an epidural safely and comfortably is of utmost importance in reducing risk, and the EPD has come to play a significant role in this.

Healthcare Worker Safety

Providing epidural pain relief has improved healthcare worker safety as well. Often, a professional (or multiple professionals) are holding a patient in place manually. Pain during labor or from injury may cause a patient to unexpectedly move while receiving an epidural. Or, having an adverse reaction to the epidural may cause the patient to move. Any patient motion requires staff reaction and counter, creating musculoskeletal strain for the professional. The pushing, pulling, tugging, lifting and catching required of the healthcare worker can lead to strain injury instantaneously or over time. Very often, healthcare workers use nearby non-medical equipment like stools chairs and tables when trying to make the patient ready and as comfortable as possible for the injection. These stools, tables, and chairs often have rollers, which then require the healthcare worker to counter any movement with adverse pressure or motion. The necessity of this practice, and the risk of injury that comes with it, while being in common practical use all over the world, has been all but eliminated with the EPD or Epidural Chair. Using the EPD eliminates the physical strain on the professional, thereby eliminating much of the risk to healthcare workers associated with administration of epidurals.

Having the patient in the correct position with an epidural positioning device makes quick and safe epidural administration possible with fewer staff members. By reducing manual patient handling the EPD is a simple yet highly effective device that reduces risks for both patients and healthcare staff.

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Epidural Pain Relief: The Modern Miracle

Pain during labor is inevitable, but it doesn’t have to go untreated. Labor can be much less stressful and even enjoyable with the addition of epidural pain relief to control pain during labor. Aside from saving a mother’s sanity, an epidural can help a mother breathe better through contractions and can reduce anxiety surrounding birth.

What is an Epidural?

Getting an epidural isn’t nearly as scary as it sounds. A highly trained anesthetist will first numb the patient’s back, then insert a catheter for the medication. A needle is used to insert the catheter, but it doesn’t stay in there!

Typically, epidurals contain a drug such as Demerol or morphine. These are inserted into a patient’s back between the disks of the spine to block pain directly at the nerves. These drugs promote rest, relax the body, and allow a mother to renew her energy before it is time to push. For those who want to feel some labor, a lighter form of epidural pain relief, often dubbed a “walking” epidural, is controlled by a button that the patient can press at her own discretion. Despite the name, patients are not able to actually walk with a walking epidural. They may however be better able to reposition themselves in bed.

Positioning and Risks

While epidurals are truly a miracle for new mothers, they do require a touch of finesse. To receive an epidural, the patient must be positioned correctly. While in position, she cannot make any movement without endangering herself, her baby, and medical staff. After all, during the procedure, there is a needle hanging directly around very important nerves. If the positioning is off or the patient moves, there could be dangerous effects.

The most common complication is a spinal headache caused from improper puncture, but other more serious complications can arise such as neural disfunction, and dangerous drops in blood pressure. Additionally, improper positioning can cause a woman to have only partial pain relief or create pain which may lead to repositioning the epidural. It’s best to get the job done right so that it only has to be done once.

These risks are explained to the mother prior to the procedure, and rightfully, the order not to move during placement is stressed repeatedly. This can make the patient nervous, which unfortunately means she may be more likely to jerk involuntarily during the procedure. If done correctly, the patient will feel a quick pop like a bee sting then immediate relief.

Usually, a nurse must hold the patient in position. The patient must relax completely, which leaves the nurse supporting her fully. If the laboring patient moves involuntarily or passes out during the procedure, nursing staff can fall or be injured. If a nurse is assisting in the epidural positioning procedure multiple times in a shift, he or she is at an even higher risk of developing musculoskeletal issues. Of course, a workplace injury could affect a staff member’s performance long term.

Epidural Pain Relief and Reducing Risks

Epidural positioning devices, or EPD, reduce the risk of injury to mother and baby, and also to nursing staff. The epidural chair allows a woman to lean forward comfortably and stably without the need for a nurse to hold her up or prop her with pillows which can slip or compress. EPD include the full epidural chair as well as bedside props with adjustable footrests that accomplish a similar task.

Having the stability of the positioning device is great for staff members, but it can also make the mom in the chair more comfortable and more confident in the procedure. Epidurals are very common, and the use of EPD is becoming increasingly more common as well. More stability and more confidence for both the staff and patient results in a smoother, less stressful, and more successful procedure.

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Epidural Trends and the Epidural Chair

Current Epidural Trends in Hospitals and the Epidural Chair

Now more than ever in Labor and Delivery departments and in General Surgery areas the trend is to utilize the Epidural Chair to improve patient comfort and safety.  Equally important is the opportunity to improve safety for nursing and Anesthesia staff.  It is well known that the experience of childbirth is extremely painful for the mother. Modern medicine has advanced to provide mothers with epidural anesthesia for pain during labor. Epidural pain relief can make the child birthing experience less traumatic and exhausting for the mom. Epidural anesthesia depends on the technical abilities of the anesthetist. This requires assessing the risks that are present for the patient, positioning the patient for safe administration, and gathering the necessary staff to help with positioning. An often overlooked factor in patient outcomes in regard to pain relief is the ergonomics that nurses must respect during patient positioning to prevent themselves from developing musculoskeletal injury from repetitive patient positioning over their career. We will discuss these points in this article.

Proper positioning of the patient for safe and effective epidural pain relief can be understood with respect to the anatomy of the spinal column. The spinal cord is protected by the vertebral column. When a patient flexes their core, the posterior vertebral column spinal processes spread apart, allowing direct access to the dural sac that covers the spinal cord for anesthesia administration. Often, the nursing staff must help the patient remain in a still-flexed position to allow for safe administration. Depending on the patient’s body habitus, it can be difficult for nursing staff to hold the patient without compromising their own ergonomics. Patient positioning during administration of spinal anesthesia is very important.  EPD, commonly known as an epidural chair, has been implemented to help place patients flexed, allowing for effective anesthesia delivery.  The epidural positioning chair also doesn’t require nursing staff to put their bodies in stressful contortions, minimizing musculoskeletal injuries in the workplace.

Epidural pain relief is often significant to some expecting moms as they fear the pain during labor. Although it is a commonly performed procedure, epidural anesthesia does not come without its risk. Because the medication is being delivered near the dural sac and spinal cord, there is a risk of medication being administered within the dural sac. Risks seen during epidural anesthesia include a severe drop in blood pressure. Other side effects include difficulty urinating, nerve damage, nausea, vomiting, and infection.

Prevent Injury to the Spinal Cord

Injury to the spinal cord can also occur, with paralysis being a possible outcome. It is essential to understand these risks to help minimize negative outcomes. The Epidural chair helps decrease this risk by allowing the patient to be put in a fixed position that won’t disturb the anesthetist. Safety and reliability are of utmost importance in healthcare, and the EPD can provide proper positioning with adjustments in respect to the patient’s body habitus. Although there are many factors that go into the safe delivery of anesthesia, the utilization of an epidural chair can help mitigate the risk with respect to the proper positioning of the patient.

EPD can be used outside of the labor and delivery floor. With respect to spinal blocks and spinal taps, the chair is used because both procedures require the exact positioning. Spinal taps come with similar risks and can be mitigated similarly with the use of the chair. Often time patients who may need a spinal tap for therapeutic or diagnostic purposes must have a risk assessment which includes the ability to position the patient properly. In the pediatric population, a chair is not as helpful as children often require some form of sedation to help with patient positioning because of their age. In the adult population where body habitus is varied, an EPD chair that can be adjusted to reproduce the same position can help improve patient outcomes.

The Epidural Anesthesia

Epidural anesthesia can also be used to supplement general anesthesia for surgery and to help with pain alleviation during post-operative recovery. Surgeries that occur in the lower extremities can often be excruciating in the post-operative recovery period. Supplemental pain relief can help the patient feel more comfortable, and reduced pain perception can help a patient recover faster by complying with post-operative therapy. The utilization of an Epidural Positioning Device can help mitigate a safe and quick administration of a spinal block even in spite of staff not being able to be present for patient positioning. This kind of anesthesia helps reduce the usage of opioids for patients who refuse or patients with a history of opioid abuse.

Overall The utilization of an epidural positioning chair can help deliver safe and reliable anesthesia while reducing the risks of the procedure, the requirement of staffing, and the risk of musculoskeletal injuries. This chair can be utilized in similar procedures such as the spinal tap or even thoracentesis, which shows promising application outside of just epidural anesthesia. This trend to improve patient and staff safety using the EPD is increasing. Word is spreading in clinical circles that the simplicity and ease of use of the EPD drives compliance and therefore reduces risk, a very positive trend indeed.

References:

Comparing Three Different Modified Sitting Positions for Ease of Spinal Needle Insertion in Patients Undergoing Spinal Anesthesia by Sussan Soltani Mohammadi, Mohammadreza Piri, and Alireza Khajehnasiri 2017

The EPD is used for Thoracentesis
CategoriesPatient Handling

Epidural Chair for Epidural Safety

Epidural Analgesia for Pain Relief During Labor and Delivery

Epidural injections or epidural anesthesia is defined as regional anesthesia that blocks pain in a specific area of the body. To perform an epidural injection, the anesthesiologist utilizes a hollow needle to place an epidural catheter, which is a small and flexible plastic tube, into the space between the spinal column and outer membrane of the spinal cord (epidural space). This is in the middle or lower back. The area that the catheter will be placed will first receive a local anesthetic. As a result of the epidural injection, the nerve messages are blocked, which in turn causes numbness and also epidural pain relief in the lower half of the body. In terms of applications, epidural anesthesia is usually used for legs and lower belly surgeries, for helping control pain after chest and belly related major surgeries, as well as for relieving pain during labor and delivery. This is a complicated procedure so epidural safety is extremely important.

With respect to labor and delivery, a lot of women decide on having the epidural injection in order to cope with the severe pain during the whole birthing process. In this case, an epidural pump is utilized where pain relief drugs are continuously administered through the epidural tube mentioned earlier. The pain during labor is relieved as long as the drugs are being constantly pumped into the body. When the pumping is stopped, the entire feeling will come back within a few hours.

Epidural Pain Relief and Epidural Safety

In addition to epidural pain relief, the main pros for having an epidural injection during labor and delivery is being able to rest and relax, which helps a lot of women have a positive birthing experience.  Another main advantage for taking an epidural is that it helps women be more alert, which in turn allows them to take an active role during their birthing process. Last, but not least, recent research shows that epidural injections may play a role in reducing postpartum depression in a certain number of females.

With the high frequency of epidural injections occurring in during labor and delivery units across the country, it’s important to consider the manual patient handling involved in positioning patients and the safety risks for patients and nurses alike.  A device that should be considered is the epidural chair or the epidural positioning device (EPD). Patented in 2001, the epidural positioning device reduces risk of injury to nursing staff and improves patient comfort. The EPD features a 180 degrees adjustable face rest, a six position adjustable armrest allowing patients to comfortably rest their arms, an adjustable torso support to promote spinal flexion, and a height adjustable foot rest.  The EPD is not just for labor and delivery. The EPD is currently considered the standard of care by surgical staff to administer spinal blocks prior to total hip and knee surgeries. With the functional design and obvious safety benefits the SPH Medical EPD has become the standard of care wherever spinals and epidurals are performed.

From a clinical perspective, anesthesiologists are using the epidural chair permits to encourage lumbar, thoracic and cervical flexion, positioning patients in both a correct and comfortable manner and importantly a stable, safe and secure position as well. The stable positioning supported by the Epidural Chair reduced the risks of complication while the anesthesiologist places the epidural. Thanks to the EPD, nursing staff are not having to hold patients in a static position, apply counter pressure, or manually handle patients. A number of recent studies have shown that the comfort and satisfaction levels of a large number of female patients that received the epidural analgesia were significantly higher when the epidural positioning device was used.

Reduce Risk of Injury in The Labor and Delivery Unit

Healthcare workers and patients are placed at risk of injury in the labor and delivery unit when staff members are manually handling patients.  Whether it is holding, lifting, boosting or pushing the patient in a proper position, the patient not being able to change his or her position and follow the staff instructions, or even the patient being nervous, unpredictable or maybe nauseous and dizzy, positioning patients can be a very challenging task.

In point of fact, when handling patients during epidural injections, a large number of nurses are at risk of micro tears in their joints and vertebral discs that could eventually lead to injuries. Fortunately, thanks to the epidural positioning device, nurses and healthcare workers not only avoid these safety risks and challenging situations, but are also free to perform other imperative tasks.

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