|
Chapter 13: Type of Beds
________regular
pressure reduction
________regular
bed w/waffle mattress
________first
step select
________kinair
iii w/scales
________triadyne
________delta
rotorest
________bari
bed
________bari
air bed
________fluid
air elite
________other______________________________________
I.
In the history of hospital mattress manufacturing,
pressure reduction and waffle mattresses were followed by high
air loss beds such as the Fluid Air EliteÒ
and ClinitronÒ
beds. These were
followed by the so-called low air loss surfaces, which caused
far less evaporative water losses in patients than the high
air loss models. This
form of insensible fluid loss should be remembered, as it is
an additional source of hypovolemia in the resuscitated or
postoperative burn patient.
II.
Regular beds
A. Regular
pressure reduction
This bed is designed for the
uncomplicated burn patient with burns that do not involve
posterior surfaces such as the back, sacrum, calves, or heels.
B.
Regular bed w/waffle mattress
Patients with burns not covering
the entire area of a posterior surface, such as burns to part
of the back, sacrum, or on one posterior leg or thigh, should
rest on a waffle mattress.
The patient using this mattress should be able to turn
his/her body so as to remove pressure from the burn wound.
III.
Low Air Loss Beds
A.
first step selectÒ
This bed is suitable for any patient with significant
burns or donor sites on the back, neck, and sacrum.
The evaporative water loss from this bed is minimal.
B. kinair
iii w/scalesÒ
The
Kinair bed should be used with patients who are in critical or
serious condition, in which fluid status is important and
daily weights are needed.
The evaporative water losses are minimal with this bed.
C. triadyneÒ
The
Triadine bed provides kinetic therapy for patients needing
postural drainage for pulmonary toilet by sequentially
inflating and deflating separate segments of the air mattress
to provide a turning motion for the patient.
Patients with pulmonary contusions, chest blast
injuries, adult respiratory distress syndrome (ARDS), and
severe pneumonia may benefit from this bed.
D. delta
rotorestÒ
This bed provides is used in spinal cord injury
patients. It has
a pressure reduction mattress and provides rotational kinetic
therapy. Gel foam
can be used to cushion selected areas (i.e. head, sacrum,
heels).
E. bari bedÒ
The Bari bed is a large pressure reduction mattress for
obese patients (>400 lbs).
F. bari air
bedÒ
This bed provides an air cushion to provide some
rotation for obese patients needing postural drainage.
IV. High
Air Loss Beds
fluid
air eliteÒ,
CLINITRONÒ
These beds contain an air mattress with silicone beads
that are circulated by a motor.
They are used primarily in paraylyzed patients.
Problems with this bed include the large evaporative
fluid loss accompanying its use, and the inability to raise
the head of the bed. As
a result, patients prone to regurgitation or with feeding
problems may have a significant aspiration risk during
feedings in these beds. In
addition, patients are less mobile and are prone to loss of
muscle tone and muscle atrophy and wasting.
|
