Risks And Precautions - Arjohuntleigh RotoProne User Manual

Risks and Precautions

The RotoProne Therapy System is typically prescribed for patients suffering from the consequences of
immobility. Although use of the RotoProne Therapy System is thought to help caregivers address potentially
life-threatening conditions, proning itself may present inherent risks of serious injury. For instance, some
studies and caregiver experience have suggested or reported risk of the following in relation to proning in
general:
• skin breakdown and / or pressure necrosis
• wound dehiscence
• cardiac arrest
• loss of invasive lines or tubes or extubation (endotracheal and oral)
• edema and / or swelling
• splenic rupture
• blindness and other consequences of damage to the ocular nerve
• corneal abrasion
• myositis ossification
• venous air embolism
• increased intraorbital pressure
• central retinal artery occlusion
• pain and discomfort
• difficulty performing CPR
Precautions may also need to be taken when using this product with certain patient conditions, including
but not limited to:
• hemodynamic instability
• severe agitation
• uncontrollable claustrophobia or fear of confinement
• uncontrollable diarrhea
• intolerance to face down position
• wounds at risk of dehiscence while in prone position
• patient in the prone position with open sternal wound or thoracic post-surgical incision
• patient in the prone position with open abdomen
• any implant that potentially increases the risk of skin breakdown including, but not limited to, breast
implants or penile prosthesis
• pregnancy
• extensive facial trauma
• any other unstable fracture not listed as a contraindication
• ICP monitoring or intracranial drainage devices
Caregivers should make sure to discuss Safety Information, Risks and Precautions with
the patient (or the patient's legal guardians) and the patient's family.
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