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Removing medical tape9/20/2023 MARSI may occur as soon as the adhesive is removed for example, we may see the tear happen as the tape or ostomy face plate is removed, or it may pop up a brief time later after skin is exposed to the environment. MARSI typically manifests as a skin tear with a flap attached or detached, blistering, moist or macerated skin (think of when a Band-Aid or dressing is left on too long and the skin becomes white and moist underneath), folliculitis, skin stripping, or superficially denuded skin (e.g., contact irritant dermatitis). The stratum corneum, or the outermost layer of the epidermis, is typically the layer of skin that is affected most by MARSI because it is what serves as a barrier against the environment and environmental factors such as adhesives, moisture, friction, etc. Many variables can and do make wounds and skin conditions worse, but when determining the true etiology, we must look at what initially caused the problem. It is important to look at the big picture and what caused the wound or skin injury. MARSI is not a pressure injury and is not caused by pressure.Īnytime we are consulted or asked to follow up on a new wound, one of the things we are assessing for is the cause of the wound or injury-trauma, pressure, moisture, friction, shear, impaired blood flow, etc. MARSI is caused by trauma to the skin from medical adhesives (think of things such as… tape used to secure a dressing after a blood draw, clear film dressings, ostomy pouches, external catheters in men, tube securement devices, surgical dressings, etc.). (Source: National Academy of Sciences of the United States of America) Researchers hope that this new tape will prevent injuries in premature babies as well as the elderly who have sensitive skin.Medical adhesive-related skin injury, or MARSI, is a common type of skin injury, often seen in inpatient settings and in vulnerable populations with fragile skin such as older adults (decreased elasticity, usually multiple pre-existing comorbidities) or pediatric patients (skin is not fully developed). The researchers employed a release liner to create the anisotropic interface, resulting in a medical tape with strength and low peel force for safe, quick removal. The anisotropic properties of this middle layer means that it has different physical properties dependent on direction. Current medical tape fracture at the adhesive skin interface, but with the quick-release tape the fracture zone is transformed away from the skin and concentrated on the middle layer. There is a layer in between the adhesive and the backing layers, the anti-adhesive composite intermediary layer. Doctors from Brigham and Women's Hospital are developing a possible solution, quick release tape. NEW TECHNOLOGY: During removal of current medical tapes, crack propagation occurs at the adhesive–skin interface, which is also the interface responsible for device fixation. Even on adult skin, its painful to remove medical tape and it often leaves behind a sticky residue from the adhesive. The medical tapes most hospitals use are designed for adult skin. Premature babies often have IV's that need to be taped to their skin. The pain is more intense for premature and newborn babies. THE BANDAGE: The sticky adhesive on bandages can rip off skin and hair. The scaring can be a result of many things, but the most shocking is the damages of the strong adhesive medical tape (Source: ). There have been reports of missing belly buttons, large scars across the body, and smaller scars on the neck and feet in premature babies. However, there are many children that still have visible scars even as they grow toward adulthood. Some babies manage to make it through the NICU procedures, like IV, heel pricks, PDA ligation, central lines, tape and bandages without scars. Many premature babies need extra care in the newborn intensive care unit (NCIU). Premature babies are born before 37 weeks of pregnancy. FLORIDA - BACKGROUND: Medical tape removal results in one and a half million injuries every year, mostly preemies.
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