Evaluation of the Ventilatory Effects of a Restraint Chair on Human Subjects

Vilke, Gary M.; Sloane, Christian; Castillo, Edward M.; Kolkhorst, Fred W.; Neuman, Tom S.; Chan, Theodore C.

doi:10.1016/j.jemermed.2009.12.002

Cited by 11 publications

(15 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 34 P PR Training will affect restraint use by EMS. Vilke et al ., 2011 [33] USA Investigate effect of restraint chair on respiratory function. 10 P PR Maximal voluntary ventilation reduced; no significant effects seen.…”

Section: Methodsmentioning

confidence: 99%

Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review

McDowall

Makkink

Jarman

2023

African Journal of Emergency Medicine

View full text Add to dashboard Cite

Section: Methodsmentioning

confidence: 99%

Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review

McDowall

Makkink

Jarman

2023

African Journal of Emergency Medicine

View full text Add to dashboard Cite

“…“The ethical dilemma faced by nurses who must maintain safety while reducing the risk of injury and trauma has prompted the implementation of the restraint chair as a safe, patient‐centered alternative to seclusion and four‐point restraint” (Visaggio et al, 2018; p. 723). While positional asphyxiation is a major cause of injury in many restraints the chair restraint is noted to have no changes in arterial oxygenation saturation (commonly known as 02 sat) or end‐tidal partial pressure of carbon dioxide (PCO 2 ) levels, and only minimal but insignificant decreases in maximal voluntary ventilation (Vilke et al, 2011).…”

Section: Review Of Literaturementioning

confidence: 99%

“…723). While positional asphyxiation is a major cause of injury in many restraints the chair restraint is noted to have no changes in arterial oxygenation saturation (commonly known as 02 sat) or end-tidal partial pressure of carbon dioxide (PCO 2 ) levels, and only minimal but insignificant decreases in maximal voluntary ventilation (Vilke et al, 2011).…”

Section: Use Of the Chair Restraintmentioning

confidence: 99%

Year one review: Staff perception on the implementation of the chair restraint on an adolescent psychiatric inpatient unit

Seney

Safford

2023

Child Adoles Psych Nursing

View full text Add to dashboard Cite

This pediatric psychiatric mental health hospital implemented a new mechanical restraint, the chair restraint, as an additional safety management intervention, to join the already utilized six‐point board. Purpose The purpose of this project was to assess perceptions, thoughts, and feelings of psychiatric mental health nursing staff when utilizing the chair restraint on an adolescent unit. Furthermore, to explore decision making related to choosing the chair restraint verses choosing to use the six‐point board as a safety management intervention. Methodology This was a phenomenological qualitative study, utilizing semistructured interviews to explore the experiences of nursing staff, consisting of behavioral health specialists, and direct‐care staff nurses who work on an adolescent psychiatric unit utilizing both chair restraint and the six‐point board. Ten nursing staff were interviewed. Using thematic analysis, staff perceptions, thoughts, and feelings when using mechanical restraints for safety management were explored. Demographics were collected however, there was no variability in the responses and saturation was reached. Findings Five themes emerged from the interviews. The Five themes that emerged were: Restraint chair was less traumatic and preferred, feelings of defeat when de‐escalation was not successful, pushing away emotions as protection, units were short staffed, and patient behaviors were seen as a potential barrier to eliminating the six‐point board. Conclusion The results of this study will be used to guide to further develop behavioral health education, orientation for new staff, and to understand ways to support staff through their experiences in managing a patient's unsafe behaviors.

show abstract

“…1 The subjects were placed in either a restraint chair or a regular chair after a vigorous exercise regimen and had respiratory markers and vital signs monitored for 30 min. The subjects then had a brief rest period, followed by the same exercise regimen and placed into the alternative position for another 30 min with similar monitoring.…”

Section: Medical Literature Searchmentioning

confidence: 99%

Review of the medical and legal literature on restraint chairs

Castillo

Coyne

Chan

et al. 2015

Journal of Forensic and Legal Medicine

Self Cite

View full text Add to dashboard Cite

a b s t r a c tUse of restraint chairs by law enforcement for violent individuals has generated controversy and a source of litigation because of reported injuries and deaths of restrained subjects. The purpose of this study is to review the available medical and legal literature and to allow the development of evidence-based, best practice recommendations to inform the further development of restraint chair policies. This is a structured literature review of four databases, two medical and two legal. The medical review focus was on the restraint chair with additional review of materials regarding other restraint methods and options. The legal review focused on litigation cases involving the restraint chair.The review of the medical literature revealed 21 peer-reviewed studies investigating the physiological or psychological effects of using a restraint chair on humans or primates. Of these studies, 20 were performed on primates. The single human study revealed no clinically significant effects from the restraint chair on test subjects. The legal literature review revealed very few cases where the restraint chair was either a major or minor focus. The overall issues relating to the restraint chair cases involved deviations from set protocols and rarely involved issues with the chair itself.The available medical literature reveals that the restraint chair poses little to no medical risk. Additionally, when used appropriately, the restraint chair alone carries little legal liability. With proper monitoring and adherence to set protocols, the restraint chair is a safe and appropriate device for use in restraining violent individuals.

show abstract

Evaluation of the Ventilatory Effects of a Restraint Chair on Human Subjects

Cited by 11 publications

References 9 publications

Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review

Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review

Year one review: Staff perception on the implementation of the chair restraint on an adolescent psychiatric inpatient unit

Review of the medical and legal literature on restraint chairs

Contact Info

Product

Resources

About