BARIAIR THERAPY SYSTEM AN INTEGRATED THERAPY SYSTEM FOR THE IMMOBILE BARIATRIC PATIENT IN CRITICAL CARE. with people in mind.

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1 BARIAIR THERAPY SYSTEM AN INTEGRATED THERAPY SYSTEM FOR THE IMMOBILE BARIATRIC PATIENT IN CRITICAL CARE with people in mind

2 THE CLINICAL CHALLENGE: PREVENTING FURTHER COMPLICATIONS TO THE IMMOBILE BARIATRIC PATIENT IN CRITICAL CARE MANAGING THE COMPLEX BARIATRIC PATIENT: A SIGNIFICANT ISSUE Caring for this patient population in the ICU can be challenging due to the unique complexities of bariatric patient care. If not properly planned for, the risk of injury associated with patient management both to the caregiver and the patient can be significant. Caregiver safety must be considered: #1 54% Nursing is ranked as the Injuries related to patient top occupation for handling and musculoskeletal injuries 1 repositioning primarily back and shoulder 1 CLINICAL CONSIDERATIONS: RISK OF PRESSURE ULCER DEVELOPMENT Pressure ulcers are of significant concern for bariatric patients and can originate from a variety of environmental factors, including: Pressure A result of immobility, applied pressure compresses the body tissue between the support surface and a patient s bony prominences. Clinical issue: Occludes capillary blood flow resulting in tissue damage. Patient safety must be considered as well: 20% 5.6 of bariatric surgical Days longer length of stay patients require for bariatric patients surviving acute lung injury ICU admission 2 3 Bariatric patients are at an increased risk of: Complications related to extended hospitalization Compromised wound healing due to poor blood supply to fatty tissue Atypical pressure ulcers and injuries due to improperly sized equipment Altered pulmonary function due to limited diaphragmatic movement Immobility due to weight associated challenges 1 United States Department of Labor, Bureau of Labor Statistics, Savel R., Gropper M., Macura J., Lazzaro R. Management of the Critically Ill Bariatric Patient. 3 Morohunfolu E. Akinnusi, MD; Lilibeth A. Pineda, MD; Ali A. El Solh, MD, MPH. Effect of Obesity on Intensive Care Morbidity and Mortality: A Meta Analysis. Critical Care Medicine 2008 Vol. 36, No.1. Shear Skin shear occurs when opposite forces acting parallel to the skin surface cause the skin to stretch or tear from the underlying connective tissue. Clinical issue: Causes capillaries to elongate, diminishing blood flow and resulting in tissue damage. Friction Friction is the resistance to motion of the external tissue sliding in a parallel direction of the support surface. Clinical issue: Leads to epidermal stripping resulting in tissue damage. Moisture and Temperature Moisture is emitted through the skin as sweat to control body temperature, but moisture must be removed to preserve skin integrity. Excessive body heat emission results in excessive moisture output. Clinical issue: Weakens the skin and increases level of friction and shear resulting in tissue damage.

3 THE SOLUTION: THE BARIAIR THERAPY SYSTEM DESIGNED TO MANAGE THE CLINICAL CHALLENGES OF THE BARIATRIC ICU PATIENT AND THE PATIENT-HANDLING CHALLENGES OF THE CAREGIVER The BariAir Therapy System is an integrated therapy system to help you manage the immobile critically ill bariatric patient Reduces patient transfers for caregiver safety Expandable mattress and frame, integrated scales, x-ray capabilities and full cardiac chair positioning allow patient to remain in the BariAir Therapy System, reducing risk of injury to caregivers. Helps relieve pressure, friction and shear Low Air Loss Therapy and Continuous Lateral Rotational Therapy offload and reduce pressure to help prevent pressure ulcer development. 3 4 Nurse controls Therapy and frame configurations can be customised to meet the unique needs of patients. Programmable nurse assist Facilitates easier patient positioning and turning to decrease potential caregiver and patient injuries associated with manual handling. Helps manage moisture and temperature High Performance Medical Fabric helps maintain skin integrity by keeping it cool and dry to help prevent pressure ulcer development. 5 Enhances patient safety Foot egress with stabilisation handles helps facilitate exit and mobility to help reduce risk of injury to caregiver and patient.

4 MULTIPLE THERAPY OPTIONS: THE RIGHT THERAPY FOR INDIVIDUAL PATIENT NEEDS

5 LOW AIR LOSS minimise deformation of body tissue by conforming to patients Helps reduce pressure-induced pain Reduces frictional drag and shear during positioning via smooth laminate surface High Performance Medical Fabric Delivers excellent skin care benefits to help address maceration and pressure ulcer development Removes excess moisture and helps maintain a constant skin temperature by allowing air flow through the surface Provides a barrier against bacterial infiltration Controls bacterial cross-contamination with waterproof surface CONTINUOUS LATERAL ROTATIONAL THERAPY Reduces pressure by continuously changing pressure points Reduces shear and minimise pain and discomfort through gentle side-to-side turns Allows for patient customisation with programmable turn angles PULSATION THERAPY Improves capillary blood flow, increasing oxygenation to the wound and skin Encourages lymph flow by mimicking the body s natural intermittent movements Reduces edema while increasing blood flow and reducing pressure-induced pain PERCUSSION THERAPY Helps loosen pulmonary secretions Helps reduce the need for manual interventions Allows for proper back alignment through an adjustable bladder

6 THE BARIAIR THERAPY SYSTEM: THE IDEAL BARIATRIC SYSTEM FOR THE ICU 386 kg capacity to handle a wide range of patients Fully integrated therapy system provides a continuous level of frame and surface customisation and monitoring Programmable therapies can be customised to meet unique patient needs Critical care frame and therapy options provide optimum caregiver-to-patient interaction Rotational features aid in patient positioning and comfort while helping prevent pressure ulcer development High Performance Medical Fabric provides an ideal environment for the skin s microclimate Cardiac chair positioning facilitates pulmonary compliance and up-in-chair orders Helps maintain patient dignity and respect

7 THE COMMITMENT: IMPROVING PATIENT OUTCOMES YOUR PARTNER IN TREATING BARIATRIC PATIENTS IN THE ICU As your partner in bariatrics, ArjoHuntleigh understands the complexities of managing critically ill or immobile bariatric patients. Our portfolio of bariatric technologies, educational programs and support services can help you lower caregiver risks associated with patient handling, while providing customised care and enhanced mobility for your patients.

8 BARIAIR THERAPY SYSTEM AN INTEGRATED THERAPY SYSTEM FOR THE IMMOBILE BARIATRIC PATIENT IN CRITICAL CARE Note: The BariAir Therapy System has important indications, contraindications, warnings and precautions. Please consult a physician and device labeling and instructions for use prior to placement. 01.TSS GB.1.AHG June GETINGE GROUP is a leading global provider of products and systems that contribute to quality enhancement and cost efficiency within healthcare and life sciences. We operate under the three brands of ArjoHuntleigh, GETINGE and MAQUET. ArjoHuntleigh focuses on patient mobility and wound management solutions. GETINGE provides solutions for infection control within healthcare and contamination prevention within life sciences. MAQUET specializes in solutions, therapies and products for surgical interventions, interventional cardiology and intensive care. ArjoHuntleigh UK Head Office ArjoHuntleigh House, Houghton Hall Business Park, Houghton Regis, Bedfordshire, LU5 5XF, United Kingdom Sales Phone: +44 (0) Sales Fax: +44 (0) Rental 24hr Helpline Lo-call Phone: +44 (0) Rental Fax: +44 (0) sales.admin@arjohuntleigh.com ArjoHuntleigh UK Service and Technical Centre St Catherine Street, Gloucester, GL1 2SL, United Kingdom Phone: +44 (0) Service Fax: +44 (0) ukservice@arjohuntleigh.com ArjoHuntleigh UK Belfast Office 19 Heron Road, Sydenham Business Park, Belfast, BT3 9LE, Northern Ireland Phone: +44 (0) Fax: +44 (0) belfast@arjohuntleigh.com ArjoHuntleigh (Ireland) Ltd. EA House, Damastown Industrial Park, Mulhuddart, Dublin 15, Ireland Phone: +353 (0) Fax: +353 (0) dublin@arjohuntleigh.com