Anesthetic challenges posed by generalised Medical Adhesive Related Skin Injury (MARSI)

Nam, Janice; Earle, Rosie; Vaghadia, Himat

doi:10.1016/j.jclinane.2018.05.017

Cited by 7 publications

(2 citation statements)

References 3 publications

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“…Medical adhesive-related skin injury (MARSI) refers to skin abnormalities, such as persistent erythema lasting for more than 30 minutes, with or without blisters, erosion, or tearing, that occur after the removal of medical adhesives [1] . Newborns, especially premature infants, are at high risk of skin injury due to their thin skin and weak adherence between the epidermis and dermis.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Neonatal Medical Adhesive-Related Skin Injury and Management of High-Risk Nodes

Huang

Wang

2023

JCNR

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Objective: To analyze the risk factors of neonatal medical adhesive-related skin injury and put forward targeted preventive measures, so as to provide reference for the care and prevention of neonatal medical adhesive-related skin injuries. Methods: Using the convenience sampling method, 262 neonates admitted to the neonatal intensive care unit (NICU) of a tertiary general hospital in Wenzhou from April 2021 to May 2022 were selected as the study subjects. The incidence of medical adhesive-related skin injuries in these neonates was retrospectively analyzed. Results: Among the 262 children, 43 cases had skin injuries, with an incidence rate of 16.4%. Single factor analysis showed that the occurrence of medical adhesive-related skin injury was related to gestational age, weight, electrocardiogram (ECG) monitoring, venous access, ambient temperature, and mechanical ventilation (P < 0.05). Multivariate logistic regression showed that gestational age, ECG monitoring, and ambient temperature were independent risk factors of medical adhesive-related skin injury (OR values were 0.700, 0.431, and 6.365, respectively). Conclusion: The high incidence of neonatal medical adhesive-related skin injury may be caused by one or more factors. Clinical measures should be taken, such as selecting the appropriate type of adhesive according to gestational age and using skin-protecting membrane, minimizing ECG monitoring, etc., to prevent the occurrence of neonatal medical adhesive-related skin injury.

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Section: Introductionmentioning

confidence: 99%

Risk Factors of Neonatal Medical Adhesive-Related Skin Injury and Management of High-Risk Nodes

Huang

Wang

2023

JCNR

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“…Several studies on MARSI have been conducted in different settings and populations, such as adult patients admitted to a non-intensive care unit [5], adult patients with acute or chronic wounds in a vascular clinic [6], oncological patients [7], patients requiring peripheral venous insertion catheters [1], surgical patients [8,9] and Neonatal [10], Pediatric [11,12] and cardiac ICU patients [13]. However, a search conducted in PubMed, Web of Science and Scopus found only one study [2] on incidence and risk factors for patients admitted to an adult ICU.…”

Section: Introductionmentioning

confidence: 99%

Incidence and risk factors for medical adhesive-related skin injury in catheters of critically ill patients – A prospective cohort study

Frota

Pinho

Júnior

et al. 2022

Preprint

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Aim: To investigate the incidence and risk factors for medical adhesive-related skin injury (MARSI) in catheters of critically ill patients. Methods: A prospective cohort study was conducted in adult intensive care units of two Brazilian university hospitals. A total of 150 patients (439 catheters) were included. Skin exposed to the catheter fixation adhesives (central venous, nasogastric, nasoenteral and indwelling urinary) was examined daily by four trained researchers. The patients sociodemographic and clinical data were collected from their electronic medical records. The association between independent variables and MARSI was investigated by bivariate statistics, followed by multiple logistic regression. Results: The MARSI incidence was 42% (8.64 MARSIs per 100 patients/day). Advanced age, prolonged hospital stay, dry skin, repetitive adhesive removal, low Braden Scale score and hypoalbuminemia were associated with MARSI (p < .05). According to multivariate logistic regression, dry skin increased the chance of MARSI by 5.21 times (odds ratio [OR] 5.21; 95% confidence interval [95% CI] 2.43-11.11), while the Braden Scale score was a protective factor, showing 31% less chance of MARSI for each added score (OR 0.69; 95% CI 0.57-0.85). A higher incidence of MARSI was observed in nasoenteral catheters and in those fixed with adhesive using natural rubber. The MARSI types were predominantly mechanical (70.3%): skin stripping (41.3%), skin tear (26.1%) and tension injury or blister (2.9%). Conclusions: MARSI is a common event in adult intensive care units and most risk factors are modifiable. Preventive actions are potentially capable of reducing incidence, optimizing financial resources and improving clinical results.

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Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series

Altıparmak

Toker

Uysal

et al. 2019

Brazilian Journal of Anesthesiology (English Edition)

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Anesthetic challenges posed by generalised Medical Adhesive Related Skin Injury (MARSI)

Cited by 7 publications

References 3 publications

Risk Factors of Neonatal Medical Adhesive-Related Skin Injury and Management of High-Risk Nodes

Risk Factors of Neonatal Medical Adhesive-Related Skin Injury and Management of High-Risk Nodes

Incidence and risk factors for medical adhesive-related skin injury in catheters of critically ill patients – A prospective cohort study

Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series

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