Name of the Procedure:

Common name(s): Powered Air Overlay for Mattress
Technical/Medical terms: Dynamic air pressure mattress overlay (HCPCS Code: E0372)

Summary

The powered air overlay for a mattress is a medical device placed on top of a standard mattress. It uses dynamic air pressure to redistribute weight and reduce pressure points. This helps in preventing and managing pressure ulcers (bedsores) for patients who are bedridden or have limited mobility.

Purpose

Medical conditions or problems it addresses:

• Prevention and management of pressure ulcers (bedsores)
• Facilitation of wound healing in immobile or bedridden patients

Goals or expected outcomes:

• Reduce the risk of pressure ulcer formation
• Promote healing of existing pressure ulcers
• Enhance patient comfort and support

Indications

Specific symptoms or conditions:

• Patients at high risk for pressure sores
• Individuals with existing pressure ulcers
• Patients with limited mobility due to injury, illness, or surgery

Patient criteria:

• Bedridden or immobile patients
• Individuals with compromised skin integrity
• Patients recommended by a healthcare provider for advanced pressure relief

Preparation

Pre-procedure instructions:

• No specific preparations such as fasting or medication adjustments are generally required.
• The patient or caregiver may need a brief instruction on operating the device.

Diagnostic tests:

• Assessment by a healthcare provider to determine suitability
• Skin integrity examination

Procedure Description

Step-by-step explanation:

1. The powered air overlay is placed on top of the standard mattress.
2. The overlay is connected to a power source.
3. The device is turned on, and settings are adjusted according to the patient's needs.
4. Air cells within the overlay inflate and deflate cyclically to redistribute pressure.

Tools, equipment, technology:

• Powered air overlay device
• Power source

Anesthesia or sedation:

• Not applicable

Duration

The setup typically takes about 15-30 minutes. The overlay remains in use as long as necessary, often continuously.

Setting

Performed in:

• Hospitals
• Nursing homes
• Outpatient clinics
• At home (with proper instruction and oversight)

Personnel

Healthcare professionals involved:

• Nurses or caregivers for initial setup and monitoring
• Physician or wound care specialist for assessment and follow-up

Risks and Complications

Common risks:

• Discomfort if not properly adjusted
• Noise from the device which might be bothersome

Possible complications:

• Device malfunction
• Skin irritation or breakdown if not monitored

Benefits

Expected benefits:

• Reduced risk of pressure ulcers
• Enhanced comfort for immobile patients
• Improved healing for existing sores

How soon benefits might be realized:

• Benefits may be noticed immediately upon use, with significant improvements over days to weeks.

Recovery

Post-procedure care and instructions:

• Routine monitoring of skin condition
• Regular checks of the device for proper functioning

Expected recovery time:

• No downtime or recovery period

Restrictions or follow-up appointments:

• Follow-up appointments as recommended for ongoing skin and wound assessment

Alternatives

Other treatment options:

• Standard mattresses with regular repositioning
• Gel or foam mattress overlays

Pros and cons of alternatives:

• Standard mattresses may be less expensive but less effective
• Gel or foam overlays provide some relief but may not be as effective as powered air overlays

Patient Experience

What the patient might feel or experience:

• Possible initial adjustment period as the patient gets used to the movement of the air cells
• Generally enhanced comfort

Pain management and comfort measures:

• Patient-controlled adjustments for personalized comfort settings
• Regular skin checks to prevent irritation and ensure comfort