Disruption of barrier function in neonatal skin associated with adhesive removal

Lund, Carolyn; Nonato, Lourdes B.; Kuller, Joanne; Franck, Linda S.; Cullander, Christopher; Durand, David J.

doi:10.1016/s0022-3476(97)80060-1

Cited by 96 publications

(32 citation statements)

References 19 publications

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“…Lund et al . [25] have also reported that a single application of adhesive plastic tapes or pectin barriers could disrupt the barrier function of the skin in neonates even without actual skin injuries. Only a few of the above-mentioned non-contact respiration monitoring methods have been evaluated in neonates.…”

Section: Discussionmentioning

confidence: 99%

Non-contact respiration monitoring using impulse radio ultrawideband radar in neonates

Kim

Lee

et al. 2019

R. Soc. open sci.

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Vital sign monitoring in neonates requires adhesive electrodes, which often damage fragile newborn skin. Because impulse radio ultrawideband (IR-UWB) radar has been reported to recognize chest movement without contact in adult humans, IR-UWB may be used to measure respiratory rates (RRs) in a non-contact fashion. We investigated the feasibility of radar sensors for respiration monitoring in neonates without any respiratory support to compare the accuracy and reliability of radar measurements with those of conventional impedance pneumography measurements. In the neonatal intensive care unit, RRs were measured using radar (RR Rd ) and impedance pneumography (RR IP ) simultaneously. The neonatal voluntary movements were measured using the radar sensor and categorized into three levels (low [M 0 ], intermediate [M 1 ] and high [M 2 ]). RR Rd highly agreed with RR IP ( r = 0.90; intraclass correlation coefficient [ICC] = 0.846 [0.835–0.856]). For the M 0 movement, there was good agreement between RR Rd and RR IP (ICC = 0.893; mean bias −0.15 [limits of agreement (LOA) −9.6 to 10.0]). However, the agreement was slightly lower for the M 1 (ICC = 0.833; mean bias = 0.95 [LOA −11.4 to 13.3]) and M 2 (ICC = 0.749; mean bias = 3.04 [LOA –9.30 to 15.4]) movements than for the M 0 movement. In conclusion, IR-UWB radar can provide accurate and reliable estimates of RR in neonates in a non-contact fashion. The performance of radar measurements could be affected by neonate movement.

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Section: Discussionmentioning

confidence: 99%

Non-contact respiration monitoring using impulse radio ultrawideband radar in neonates

Kim

Lee

et al. 2019

R. Soc. open sci.

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“…As a consequence, applying the ECG electrodes on infant skin for a long time increases the risk of trauma and infections. Removing the adhesives from the immature skin, as part of regular care, can damage the immature skin of preterm infants, as well as cause stress and pain [6,7]. This technique is impractical for home care, since the sensors have to be placed by skilled caregivers, and wearing the sensors also causes inconvenience for everyday life [8,9].…”

Section: Introductionmentioning

confidence: 99%

Respiration Monitoring for Premature Neonates in NICU

et al. 2019

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In this paper, we investigate an automated pipeline to estimate respiration signals from videos for premature infants in neonatal intensive care units (NICUs). Two flow estimation methods, namely the conventional optical flow- and deep learning-based flow estimation methods, were employed and compared to estimate pixel motion vectors between adjacent video frames. The respiratory signal is further extracted via motion factorization. The proposed methods were evaluated by comparing our automated extracted respiration signals to that extracted from chest impedance on videos of five premature infants. The overall average cross-correlation coefficients are 0.70 for the optical flow-based method and 0.74 for the deep flow-based method. The average root mean-squared errors are 6.10 and 4.55 for the optical flow- and the deep flow-based methods, respectively. The experimental results are promising for further investigation and clinical application of the video-based respiration monitoring method for infants in NICUs.

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“…The basal epidermal layer is thinner and the dermis lacks a reticular layer. Decreased cohesion between the two layers allows stripping of the epidermis [5]. Thus, the fragility of the infant skin makes it prone to develop pressure injuries.…”

Section: Discussionmentioning

confidence: 99%

Paediatric Intravenous Splint: A Cause of Pressure Injury during Neurosurgery in Prone Position

Haldar

Kaushal²,

Srivastava³

et al. 2015

Pediatr Neurosurg

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Splint application avoids unwanted movement of limbs and kinking of intravenous catheters in infants, allowing free flow of intravenous fluids. However, if placed in contact with dependent surfaces during prone surgeries, they have the propensity to cause inadvertent pressure injuries. This occurs due to the weight of the limb and continuous friction and is augmented by a rise in the local temperature and perspiration. We wish to share our experience of such an unintentional injury caused by a paediatric intravenous splint.

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Disruption of barrier function in neonatal skin associated with adhesive removal

Cited by 96 publications

References 19 publications

Non-contact respiration monitoring using impulse radio ultrawideband radar in neonates

Non-contact respiration monitoring using impulse radio ultrawideband radar in neonates

Respiration Monitoring for Premature Neonates in NICU

Paediatric Intravenous Splint: A Cause of Pressure Injury during Neurosurgery in Prone Position

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