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EPD solves patient positioning
CategoriesPatient Handling

The Use of EPD in Epidural Pain Relief

by sphmedicaladmin

An epidural is a frequent procedure used to offer pain relief or numbness during labor and childbirth and some surgeries and chronic pain. An epidural pain relief is a technique that involves injecting a medicine into the spine’s epidural space, either an anesthetic or a steroid. This technique is used to offer pain relief or a total loss of feeling in a specific area of your body, such as your legs or abdomen. It aids in blocking pain signals from the spine to the brain. The anesthetic blocks pain signals by numbing the spinal nerves. It relieves discomfort for women in labor or having a cesarean section. This anesthetic is particularly effective at blocking discomfort from labor contractions and during delivery. You can normally move and control pushing of the baby when you have an epidural.

The Epidural Positioning Device

A distinguished anesthesiologist created the first epidural positioning device about two decades ago to improve patient and staff safety. The EPD has now become the gold standard of positioning devices. The Surgery Department and the Labor and Delivery Unit benefit the most from this development.

When it comes to positioning patients safely and decreasing the risk of injury to caregivers and medical personnel, the device helps keep patients safe while also reducing the risk of injury to caregivers and medical staff. The EPD is most commonly used to position a patient for an epidural placement but is also used in other areas of the hospital to position patients.  The EPD has numerous advantages for both nursing staff and caregivers.

An epidural chair has a stable foundation. It quickly locks into place and has several adjustable features to ensure that each patient is in the best possible posture for the treatment.  The following adjustable features:

  • Height adjustability
  • Tilting Paded Face Rest Cushion
  • Foot Plate
  • Depth Adjustable Chest Cushion
  • Arm Rests
  • Locking Wheels

Why Is Proper Positioning Important for Epidural Pain Relief

The Epidural Chair improves safety by appropriately positioning and supporting a patient for a successful procedure, the first and most visible advantage.

Complication risk is reduced. There is a considerable risk of complications due to the unique and strenuous nature of patient posture during spinal blocks and epidural treatments. With this device, caregivers don’t have to rely on their body positioning to keep the patient secure.

Anesthesiologists have also used the technology for various types of spinal blocks as a result of its success in delivery aid, providing epidural pain relief during various procedures.

What is Epidural Pain Relief and What Is the Risk to The Patient?

In the past, the nurse or medical assistant was responsible for manually positioning the patient, which increased the risk of injury or musculoskeletal disorders (MSDs). Assisting with epidural procedures is one of the known high-risk tasks for nurses. Modifying the task or implementing engineering controls to eliminate the risk is the greatest strategy to lessen the chance of injury. Your team will benefit from the positioning devices engineering control and risk reduction.

Patients benefit from an epidural positioning device because it provides a stable base. When the patient is positioned correctly, the caregiver can rely on the device rather than their body weight to keep the patient in the best posture for the treatment. These advantages significantly minimize the risk of problems during a spinal block and epidurals.

Patient Positioning Challenges

  • During epidural and spinal block placements, clinicians in the Labor and Delivery Unit, Surgery Department, and pain clinics face various demanding scenarios.
  • Holding a patient in place poses a risk to the staff’s safety.
  • Pillows stacked on non-locking tables endanger patients’ safety.
  • Patients on medication may find it challenging to maintain the correct position.
  • Keeping a stool in place while supporting a patient is a difficult task.
  • Patients may have an unanticipated reaction and try to move.
  • Patients may feel dizzy or queasy, causing them to move around.

With this Epidural assisting device, the patient is in a safe, secure, and comfortable position. It is the responsibility of hospitals and medical facilities to ensure the safety of their nurses and support staff. Providing the necessary equipment is part of the plan to keep employees injury-free. While assisting with traditional positioning methods connected with epidurals and similar procedures like spinal blocks in the OR and Thoracentesis in the imaging department, positioning devices reduce over exertion, body strain and risk of injury to nurses. It’s critical to keep nurses and hospital workers in good health to function at their best.

The Epidural Positioning Devices Improves Safety
CategoriesPatient Handling

Epidural Pain Relief and Positioning

by sphmedicaladmin

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.

Improve Epidural Safety with the EPD
CategoriesPatient Handling

Epidural Pain Relief: The Modern Miracle

by sphmedicaladmin

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.

Epidural Chair improves Staff Safety
CategoriesPatient Handling

Epidural Pain Relief and the EPD

by sphmedicaladmin

Epidural anesthesia blocks pain sensation in a given region of the body and provides analgesia. The EPD improves safety for both staff and patients and increases and comfort for patients. An Epidural blocks impulses from lower spinal segments leading to reduced pain sensation in the lower part of the body. Most epidural pain relief medications are local anesthetics and are administered in combination with opioids like fentanyl.

How Epidural Pain Relief Works?

Local anesthetics are directed into the epidural space. EPD is mainly used during childbirth, management of chronic sciatica and back pain. Specialists will optimize the care to suit the needs of a particular patient.

The spinal cord carries electrical impulses between nerves and the brain. Therefore, injection of local anesthetics into the epidural space of the lower back blocks pain sensation on the leg and pelvic area.

Your anesthetist can assess the amount of feeling lost based on the type and concentration of the administered medications. However, before the effect wears off, you may not move your legs or hands.

The passing of urine will also be a challenge because the sensation that the bladder is full is absent. However, you will have a catheter to help you pass urine while on the epidural.

Preparing for the Procedure

The anesthetist will guide you on how to prepare for an epidural. It is contraindicated in patients with a history of blood clots or conditions affecting the lower back and nervous system. In addition, it is vital to tell the anesthetist if you are on blood thinners like clopidogrel, warfarin, and aspirin. During the process, you may remain awake, but you can also receive a sedative to help you relax.

Epidurals are effective in managing pain during labor. First, the anesthetist will request the patients to lie on their sides for proper medication administration, with their knees drawn up to their tummies and their chin tucked in. The patient can also sit on the bed while leaning forward. All these positions open up the vertebral space.

Epidural Pain Relief and Patient Safety

When it comes to the safe positioning of the patient and reducing risks of injuries to the caregivers like nurses, an epidural positioning device is vital. It reduces medical staff injuries and keeps patients safe. The device is the most widely employed in positioning for a variety of procedures.

The epidural chair is an example of a manual positioning device. It involves the medical staff placing the patient’s feet on the chair first and then inserting pillows underneath the upper body. Patients support their weight on the cushions.

The epidural chair has a solid foundation that can’t move easily. Instead, it provides an adjustable foot platform and locks into position to secure every patient for the procedure.

The device encourages lumbar, thoracic, and cervical flexion. In addition, it helps in epidural pain relief for pain during labor.

Benefits of Epidural Positioning Device

Some of the benefits associated with the device over the manual EPD include:

1. Lowers Risk of Complications

There is an increased risk of complexities because of the unique taxing nature of positioning in epidural procedures and spinal blocks. In the absence of a reliable and ergonomic solution like an epidural positioning device, health workers may have to use their bodies in positioning the patients and ensuring that they are secure.

The latter may cause physical injuries to the health care worker because the patient may become violent due to the intense pain. On the other hand, patients rely on pillows, but they voluntarily move when the pain becomes severe. Hence, compromising the process.

2. Eliminates Risk of Injury

Whether in preoperative settings, operating rooms, or other areas in the hospital, caregivers and nurses are having to manually position the patients for the epidural procedure. It involves the caregiver holding the stool, the table, and the patient using their body during the procedure.

The aim is to reduce movements from patients that may cause injuries. However, the act puts the assistant or nurse in a risky situation and may cause musculoskeletal injuries. Studies have revealed that awkward static holds carried out regularly cause musculoskeletal disorders. Nurses are the number one at risk profession for a MSDO and the EPD is a simple yet highly effective solution to reduce this risk.

The effects of an epidural pain relief wear off within two hours. You will be free of drowsiness associated with general anesthetics.

CategoriesPatient Handling

Epidural Pain Relief and Patient Safety

by sphmedicaladmin

Epidural Pain Relief: Positioning for maximum safety

An epidural, is often used throughout the U.S. to relieve pain during contractions and delivery without restricting the mothers’ ability to have control and strength to push the baby out. For an epidural, medicine is administered through a tube inserted by the anesthesiologist in the lower back. A mixture of anesthetics and analgesics can be included in the epidural for women who are delivering vaginally. The medicine will cause a loss of sensation in the lower extremities and the mother is still awake and alert. The epidural provides the needed pain relief for the mother to bear down to push the infant through the birth canal successfully. For women who are having a cesarean delivery, the anesthetic dose in the epidural can be increased. This type of epidural causes a loss of feeling in the lower half of the woman’s body. Epidural pain relief may also be necessary for some patients after delivery.

Why Is Proper Positioning Important For an Epidural?

The patient’s position is very important for the epidural to be administered properly, reduce the risk of side effects, and adequately reduce pain during labor. Nursing safety is also an important concern during patient positioning and epidural placement. There are two typical positions for the patient to be positioned in for optimal placement. First, there is the side lying position. In this position the patient should lay on their side in bed to allow the Doctor to access the spine. The second position is a sitting position at the edge of the bed leaning over a pillow with knees raised to create sacral curvature. The legs are typically raised by having the patient put her feet on a stool.  Medical staff will assist the patient to ensure she is in the correct position before and during the epidural block.

For maximum safety and secure positioning, the nurses can bring in an epidural chair. The epidural chair, also known as an EPD, or epidural positioning device makes it more comfortable for the patient and safer for everyone. The EPD ensures that the patients’ back is curved and they are fully supported without having to lean on a nurse! The EPD has a head rest, arm supports, a central pad that extend toward the patients chest to promote spinal flexion, and a foot plate for support. All these components are adjustable to fit the needs of each patient. Proper positioning of the body reduces the risk of error or complications when the epidural is placed.

Avoiding manual patient handling is important for nurses to remain safe during the Epidural procedure.  The EPD Solves this problem.  In the image below the nurse is supporting the patient and putting her neck back and shoulders at risk.

Stools that don’t lock can create unnecessary risks for patients and nurses.

The epidural is performed under local anesthesia using a sterile technique. When the nerves of the skin are numb from the local anesthetic, the epidural needle is inserted between the spine area of the lumbar vertebra to get to the “epidural space,” which is just outside of the spine. This space contains the spinal nerves and cerebrospinal fluid. When anesthetics are administered to this area, the pain of childbirth is reduced. Most of the time, epidural pain relief is continuous, which means the medical staff will place a soft, small catheter or tube into the epidural space with a needle. A sterile dressing is used to secure the tube to the patient’s back. This constant flow of medication is continuously administered to the patient during labor and delivery to reduce pain and discomfort.

What Are the Risks to the Patient?

Epidurals are generally safe, especially if the patient was sitting in an epidural chair to receive the medication. However, in some cases, patients can experience:

  • Nerve pain
  • Significant drop in blood pressure, which can cause nausea and lightheadedness
  • Itchy skin
  • temporary loss of bladder control
  • General sick feeling
  • Headaches

Once the epidural anesthesia begins to wear off, it is common for patients to feel numbness in their legs until the medicine has completely worn off, which can take a few hours. It is best for the patient to sit or lie down until feeling in the legs is restored. Patients will often feel tingling in their legs after the epidural is removed, but this symptom is temporary. Patients are advised not to operate machinery, consume alcohol, or drive for 24 hours after the epidural is removed.

How Does an EPD Reduce the Risk or Injury to Nurses Administering the Epidural?

An epidural positioning device not only makes medication administration more comfortable for the patient but also keeps nurses from sustaining work-related injuries, MSD’s. When a nurse has to statically hold the patient in position, support the patient or catch a falling patient, this could cause injury to the nurse. Using the EPD means that the patient is properly supported and in the ideal position every time. The EPD becomes a standard of care. Using the EPD that will position the patient comfortably so the nurse can provide effective care as efficiently as possible with the best possible outcome.

Epidurals are a safe choice for many women who want to manage the pain of labor and delivery. The procedure is recommended by Anesthesiologists for optimal pain relief.

Improve Patient and Nurse Safety with EPD
CategoriesPatient Handling

About 70 Percent of Women in Labor Choose Epidural Pain Relief

by sphmedicaladmin

Epidural Pain Relief During Labor

About 70 percent of women in labor choose epidural pain relief “Analgesia” to ease pain during labor. This procedure effectively blocks much of the pain associated with labor contractions and the birth process. Epidurals typically don’t block sensation completely, allowing the mother to push during the second stage of labor. The laboring woman remains alert and able to participate in the birth of her child but without the typical high levels of pain during labor.

What is an Epidural?

Epidural pain relief involves the injection of an anesthetic into the lower back, known as the lumbar area. The anesthesiologist will numb the area and then use a special spinal needle to access the epidural space. This is the area surrounding the spinal cord that contains arteries, veins, fat, nerve roots and fluids. The needle is placed below the termination of the spinal cord itself, all but eliminating any possibility of puncturing the cord, potentially causing paralysis. Once the doctor has reached the epidural space with the needle, a thin plastic tube called a catheter will be inserted into the space and left there. The doctor removes the needle. Medications can then be given through the catheter until the conclusion of the delivery process. Epidural pain relief is the gold standard for relieving pain during labor. When combined with leading edge solutions like CBD, CFAH reports that epidural pain relief and the CBD together work to relieve more pain than either substance working alone.

It takes anywhere from ten to 20 minutes for the epidural to take effect. There is a lapse of this time because the anesthetic must penetrate the dura, the covering of the spinal cord, before any relief is obtained. Epidurals work by blocking pain sensations from the spinal cord to the brain.

Common side effects include:

  • Itching
  • Difficulty with urination
  • Nausea and back pain
  • No feeling in the lower trunk and legs

Spinal and Saddle Block

An epidural is not the same as a spinal or a saddle block. These procedures involve a single injection of anesthetic into the fluid around the spinal cord. There is no continuous delivery of medication with a catheter. Therefore, spinals and saddle blocks only last about one to two hours.

Positioning for Epidural Pain Relief

In order for the anesthesiologist to access the epidural space, the laboring woman must lean forward over a pillow or assume the fetal position while lying down. The vertebra must be separated as much as possible. The patient must remain absolutely still, because the doctor is working in a very delicate area where serious injury is possible. The nurse must hold the woman in place and help to steady her.

This is where nurse injuries can occur. The woman may pitch forward or jerk suddenly, causing potential injury to both herself and the nursing staff. Leaning forward over a pillow is not exactly a stable position. Accidents can easily happen. An epidural chair helps prevent injuries to both the patient and the nurse and makes the whole procedure safer and easier for everyone. With the patient in the epidural chair, the doctor can work quickly and safely to place the epidural needle so relief can begin.

EPD

The epidural positioning device, EPD, rolls up to the bed and locks in place.The patient leans over the padded, horseshoe-shaped headrest and places her arms on the padded armrest and her feet on the footrest area.

 

 

 

 

 

 

 

 

 

 

 

This position allows full flexion of the vertebra and maintains the patient in a stable position. The EPD has the following benefits:

  • No need for a static hold
  • No need to steady a stool or table that can slip
  • It speeds procedure time
  • No greater risk from larger patients

The device also addresses the problem of the medicated patient who may become dizzy without warning. A frightened or combative patient may not comply with orders to remain still while leaning over a stack of pillows.

Because the physician can work on an absolutely motionless patient, the epidural may be placed with optimum accuracy for the most anesthetic effect. The device may possibly reduce the chances of adverse side effects like excessive bleeding.

Conclusion

The epidural chair assures safety and maximum possible comfort for the nursing staff, anesthesiologist and patient during this common pain relief procedure for laboring women.

Contact SPH Medical to learn more about the EDP, also known as the Epidural Chair to improve patient and staff safety at your facility.

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