Medical Adhesives and Patient Safety

Abstract

Skin injury related to medical adhesive usage is a prevalent but underrecognized complication that occurs across all care settings and among all age groups. If proper technique for application and/or removal of adhesive products is not used, tissue trauma can occur, impacting patient safety and quality of life and increasing healthcare costs. Little guidance exists in the literature regarding appropriate selection and proper use of adhesive products to minimize medical adhesiveYrelated skin injury, as well as best practices for skin care preventive strategies, application and removal techniques, and assessment and treatment of such injuries. In an effort to define best practices for prevention of such injury, a consensus panel of 23 recognized key opinion leaders convened to establish consensus statements on the assessment, prevention, and treatment of medical adhesiveYrelated skin injury. The consensus summit was held in December 2012 and was made possible by an unrestricted educational grant from 3M. This document details the consensus definitions and statements and identifies research priorities for development of new adhesive technologies and protocols for skin protection.

Analysis of Factors Causing Skin Damage in the Application of Peripherally Inserted Central Catheter in Cancer Patients

“…Although PICC catheter types, indwelling methods, fixation methods, and medical dressings have been continuously improved, catheter-related skin damage still cannot be completely avoided. is is an important issue that requires clinical medical staff to pay close attention [10,11]. If the skin damage caused by PICC is not treated promptly and appropriately, it will cause more serious problems, such as skin diseases, various infections, and tissue damage, which will affect the treatment effect and quality of life of the patient and increase the patient's medical expenses [12,13].…”

Cateter Central de Inserção Periférica coadjuvante no tratamento de Epidermólise Bolhosa: relato de caso clínico

“…Os cuidados com os curativos, nesse tipo de paciente com EB, são fundamentais para prevenir complicações do tegumento e infecção de corrente sanguínea (14) .…”

Proof of Concept of a Surrogate High-Adhesion Medical Tape Using Photo-Thermal Release for Rapid and Less Painful Removal

“…Adhesion to the skin is the primary objective of these functions. However, a stronger and more stable adhesive bond to the skin requires a more laborious and often painful removal process, which can lead to anxiety for patient and caregiver [2] and medical adhesive-related skin injuries (MARSIs) [3].…”

“…Medical adhesive-related skin injury is defined as an occurrence of erythema or cutaneous abnormality (including blister, erosion, tear) that persists 30 min or more after adhesive removal [3]. The prevalence rates of MARSI vary significantly between studies for patient populations and the type and location of the medical adhesive.…”

“…Because accidental dislocation of those critical medical devices can result in serious events, the problems resulting from limited choices in medical tape are expected to be well beyond MARSI prevalence. Although the probability of MARSI is based on the combination of various risk factors, it is highest with neonatal patients [3], as neonatal skin is nearly 50% thinner than adult skin, and with geriatric patients [5] who often have compromised skin. In a study published in 2015, the daily MARSI prevalence ranged from 3.4% to 25.0% with a mean of 13.0% and a patient median age of 58 years [8].…”