Name of the Procedure:

Common Name: Air Pressure Pad for Mattress
Technical Term: Dynamic Pressure-Relief Mattress Overlay System (HCPCS Code: E0197)

Summary

An air pressure pad for a mattress is a medical device designed to provide dynamic pressure relief for individuals confined to bed. It consists of a series of air-filled chambers that alternate pressure to enhance blood flow and reduce the risk of pressure ulcers.

Purpose

The air pressure pad is primarily used to prevent and treat pressure ulcers (bedsores) that can develop in patients who are immobile or bedridden. The device continuously shifts pressure points, thus enhancing circulation and preventing skin breakdown.

Indications

• Patients who are immobile or have limited mobility.
• Patients with existing pressure ulcers.
• Patients at high risk for developing pressure ulcers due to conditions such as paralysis, severe illness, or extended bed rest.

Preparation

• Ensure the patient's skin is clean and dry.
• Verify that the mattress and air pressure pad are in good working condition.
• Position the patient comfortably on the standard mattress before activating the air pressure pad system.

Procedure Description

1. Setup: Place the air pressure pad on top of a standard mattress.
2. Activation: Connect the air pressure pad to the control unit and power it on.
3. Adjustment: Customize the pressure settings based on the patient’s weight and condition, using the control unit.

4. Monitoring: Ensure the patient is positioned correctly and that the pad is inflating and deflating as intended.

   No anesthesia or sedation is required for this procedure.

Duration

The setup and activation of the air pressure pad typically take about 30 minutes.

Setting

The procedure is usually performed in a hospital, long-term care facility, or at the patient’s home.

Personnel

• Nurse or caregiver for initial setup and ongoing monitoring.

Risks and Complications

• Improper setup may lead to discomfort or inadequate pressure relief.
• Potential for mechanical malfunction or air leakage.
• Rare risk of skin irritation or allergic reaction to the materials.

Benefits

• Reduced risk of pressure ulcers.
• Improved patient comfort.

• Enhanced circulation and quicker healing of existing pressure sores.

  Patients may start to experience relief and comfort almost immediately after the pad is activated.

Recovery

• Continuous use as prescribed by a healthcare provider.
• Regular monitoring and adjustment to ensure proper function.
• Follow-up as necessary to check the condition of the skin and adjust therapy.

Alternatives

• Static air mattresses.
• Gel or foam mattress overlays.

• Frequent repositioning of the patient by healthcare staff.

  Each alternative has its own set of benefits and drawbacks, such as cost, effectiveness, and ease of use.

Patient Experience

• The patient will feel a gentle, alternating pressure as the air-filled chambers inflate and deflate.
• Most patients find this sensation comfortable and relaxing.
• Pain management is generally not required, but any discomfort should be reported to the healthcare provider.