A temperature-sensitive, high-adhesion medical tape: a comparative, single-blind clinical trial.

Autor:	Swanson S; Human Photonics Laboratory, Department of Mechanical Engineering, University of Washington, Seattle, WA, US., Luu V; Human Photonics Laboratory, Department of Mechanical Engineering, University of Washington, Seattle, WA, US., Smith R; Human Photonics Laboratory, Department of Mechanical Engineering, University of Washington, Seattle, WA, US., Gross A; Human Photonics Laboratory, Department of Mechanical Engineering, University of Washington, Seattle, WA, US., Tudor J; Human Photonics Laboratory, Department of Mechanical Engineering, University of Washington, Seattle, WA, US., MacKenzie D; Human Photonics Laboratory, Department of Mechanical Engineering, University of Washington, Seattle, WA, US.; Washington Clean Energy Testbeds, University of Washington, Seattle, WA, US.; Department of Materials Science and Engineering, University of Washington, Seattle, WA, US., Taroc AM; Seattle Children's Hospital, Seattle, WA, US., Gow KW; Seattle Children's Hospital, Seattle, WA, US.; Department of Surgery, University of Washington, Seattle, WA, US., Nelson LY; Human Photonics Laboratory, Department of Mechanical Engineering, University of Washington, Seattle, WA, US., Seibel EJ; Human Photonics Laboratory, Department of Mechanical Engineering, University of Washington, Seattle, WA, US.
Jazyk:	angličtina
Zdroj:	Journal of wound care [J Wound Care] 2023 Oct 02; Vol. 32 (10), pp. 665-675.
DOI:	10.12968/jowc.2023.32.10.665
Abstrakt:	Objective: 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. Method: 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. Results: 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). Conclusion: 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. Competing Interests: Declaration of interest: The authors declare no conflict of interest; the University of Washington will manage the patent filings and any future royalty sharing.
Databáze:	MEDLINE
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