■医用粘合剂用于将伤口护理敷料和其他关键设备固定到皮肤上。虽然高剥离强度粘合剂提供更安全的皮肤附着,它们很难从皮肤上去除,并且与医用粘合剂相关的皮肤损伤(MARSI)有关,包括皮肤眼泪,和感染的风险增加。可以使用较低附着力的医用胶带以避免使用MARSI,导致敷料或设备移位和进一步的医疗并发症。
■本文报道了一种新的临床试验,高附着力医用胶带,ThermoTape(华盛顿大学,US),设计用于释放时低皮肤创伤。ThermoTape与Tegaderm(3M,美国)和去皮胶带(KRT)(3M,美国)。将所有三个带施加到健康志愿者的左前臂和右前臂两者,并在24小时后移除-右臂不施加热量,并且通过在移除之前施加热包30秒来移除左臂。胶带磨损,记录摘除后15分钟自我报告的疼痛(0-10分)和皮肤发红。
■这是一个53个主题的比较,单盲临床试验。有临床和统计学上显著的结果支持在加热的情况下去除ThermoTape期间疼痛减轻,疼痛平均减少58%,与皮肤发红减少45%的统计学差异(两个值p<0.01)。相比之下,随着加温,去除Tegaderm和KRT的疼痛和发红差异无统计学意义。加热后的ThermoTape,与没有变暖的Tegaderm相比,在0-10Wong-Baker/Face疼痛量表上产生>1的疼痛评分降低,有统计学意义(p<0.01)。
■这些结果提供了令人信服的证据,表明与标准医用胶带相比,在移除之前加温ThermoTape可以减轻疼痛和伤害。这可以允许伤口护理敷料和关键医疗设备的更强附接,同时减少MARSI的病例。
UNASSIGNED: Medical adhesives are used to secure wound care dressings and other critical devices to the skin. While high peel-strength adhesives provide more secure skin attachment, they are difficult to remove from the skin and are correlated with medical adhesive-related skin injuries (
MARSI), including skin tears, and an increased risk of infection. Lower-adhesion medical tapes may be applied to avoid
MARSI, leading to dressing or device dislodgement and further medical complications.
UNASSIGNED: This paper reports on the clinical testing of a new, high-adhesion medical tape, ThermoTape (University of Washington, US), designed for low skin trauma upon release. ThermoTape was benchmarked with Tegaderm (3M, US) and Kind Removal Tape (KRT) (3M, US). All three tapes were applied to both the left and right forearm of healthy volunteers and were removed 24 hours later-the right arm without applying heat and the left arm by applying a heat pack for 30 seconds before removal. Tape wear, self-reported pain (0-10 scale) and skin redness 15 minutes after removal were recorded.
UNASSIGNED: This was a 53-subject comparative, single-blind clinical trial. There were clinically and statistically significant results supporting reduced pain during removal of ThermoTape with warming, with an average 58% decrease in pain, paired with a statistically significant 45% reduction in skin redness (p<0.01 for both values). In contrast, there were statistically insignificant differences in pain and redness for removal of Tegaderm and KRT with warming. ThermoTape after warming, in comparison with Tegaderm without warming, produced a reduced pain score of >1 on the 0-10 Wong-Baker/Face pain scale, which was statistically significant (p<0.01).
UNASSIGNED: These results provide compelling evidence that warming ThermoTape prior to removal can reduce pain and injury when compared with standard medical tapes. This could allow for stronger attachment of wound care dressings and critical medical devices while reducing cases of
MARSI.