Medical Adhesive-Related Skin Injury Following Emergent Appendectomy
| Autor: | Karen M. Coles, Sylvia E. Britt, Shannon S. Polson |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
beta-Glucans MEDLINE Class iii 03 medical and health sciences Nursing care Postoperative Complications 0302 clinical medicine Adhesives Health care Appendectomy Humans Medicine 030212 general & internal medicine Intensive care medicine Aged Skin Skin damage Advanced and Specialized Nursing Wound Healing 030504 nursing business.industry Skin Injury Contraindications Bandages Silver Sulfadiazine Anti-Bacterial Agents Medical–Surgical Nursing Adhesive bandage Female 0305 other medical science business Surgical incision |
| Zdroj: | Journal of Wound, Ostomy & Continence Nursing. 44:188-192 |
| ISSN: | 1071-5754 |
| Popis: | Background The potential for skin damage from adhesive products is documented in the literature. Nevertheless, health care providers continue to lack understanding of the impact and seriousness of skin injury associated with use of tapes or other adhesive devices when applied to a patient with a history or hypersensitivity or allergy to adhesives. Case A 67-year-old woman with a history of tape allergy underwent emergency appendectomy. Initial removal of an adhesive bandage placed over the surgical incision revealed medical adhesive-related skin injury (MARSI). The largest of the 3 wounds was a Class III skin tear based on the Payne-Martin Classification System. It measured (L) 4.4 cm × (W) 1.8 cm × (D) 0.3 cm and required 3 months to heal. Conclusions Experiences with this case revealed the need for evidence-based practice innovations to prevent physical, emotional, and economic cost resulting from MARSI. We recommend early identification and careful documentation of susceptibility to MARSI prior to surgery and implementation of consensus-based recommendations for prevention of MARSI as advocated by the MARSI consensus group when preparing patients for surgery and treating wounds. |
| Databáze: | OpenAIRE |
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